Individual provider Active NPI

Ekaterina Victoria Schukar-Kolpakova, LMT

  • Massage Therapist
  • Wasilla, AK
National Provider Identifier
1801138169
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
107364 Issued in AK
Practice address
4900 E Palmer Wasilla Hwy
Suite 120
Wasilla, AK 99654-7752
Phone
(402) 450-4353
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1732 NE
Massage Therapist 225700000X 107364 AK Primary

Addresses

Primary practice location

4900 E Palmer Wasilla Hwy
Suite 120
Wasilla, AK 99654-7752

Mailing address

6785 E Weswood Dr
Palmer, AK 99645-9642
Phone (402) 450-4353

Other names 1

  • Ekaterina Victoria Schukar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1732NEMDProfessional Counselor
107364AKMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1801138169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 E WESWOOD DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459642",
            "telephone_number": "402-450-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 E PALMER WASILLA HWY",
            "address_2": "SUITE 120",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547752",
            "telephone_number": "402-450-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUKAR-KOLPAKOVA",
        "first_name": "EKATERINA",
        "middle_name": "VICTORIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "1732",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "107364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EKATERINA",
            "last_name": "SCHUKAR",
            "middle_name": "VICTORIA",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.