Individual provider Active NPI

Trinity Michelle Hutka, LMT

  • Massage Therapist
  • Eagle River, AK
National Provider Identifier
1831639269
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101970 Issued in AK
Practice address
11725 Inspiration Dr
Eagle River, AK 99577-7918
Phone
(907) 350-6196
NPI assigned
Mar 5, 2017
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 101970 AK Primary

Addresses

Primary practice location

11725 Inspiration Dr
Eagle River, AK 99577-7918

Mailing address

9130 Elim St
Anchorage, AK 99507-3828
Phone (907) 350-6196

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
101970AKMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1831639269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 ELIM ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073828",
            "telephone_number": "907-350-6196",
            "fax_number": "907-644-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 INSPIRATION DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777918",
            "telephone_number": "907-350-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTKA",
        "first_name": "TRINITY",
        "middle_name": "MICHELLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-05",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.