Active NPI
Kendall Marie Unfreid, LMT
- Massage Therapist
- Palmer, AK
National Provider Identifier
1801510458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 169494
- Practice address
- 1734 Prospect Dr
Palmer, AK 99645-9655 - Phone
- (907) 746-7842
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 169494 | AK | Primary |
Addresses
Primary practice location
1734 Prospect Dr
Palmer, AK 99645-9655
Mailing address
1887 E Fairview Loop
Wasilla, AK 99654-0477
Phone (907) 841-6247
Other practice location 1
1830, 137 E parks hwy suite a135
wasilla, AK 99654
Phone (907) 373-5054
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
| License | State | Type | Specialty |
|---|---|---|---|
| 169494 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Chiropractic East Mat-Su LLC | Current | Accepting new patients | |
| Arctic Medical Center Matsu | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Palmer, AK
- NPI 1437489903
-
- Medical Specialty Clinic/Center
- Palmer, AK
- NPI 1578178349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1801510458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 E FAIRVIEW LOOP",
"city": "WASILLA",
"state": "AK",
"postal_code": "996540477",
"telephone_number": "907-841-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 PROSPECT DR",
"city": "PALMER",
"state": "AK",
"postal_code": "996459655",
"telephone_number": "907-746-7842"
}
],
"practiceLocations": [
{
"address_1": "1830, 137 E parks hwy suite a135",
"address_purpose": "LOCATION",
"city": "wasilla",
"state": "AK",
"postal_code": "99654",
"country_code": "US",
"telephone_number": "907-373-5054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNFREID",
"first_name": "KENDALL",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "169494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.