Individual provider Active NPI

Wendy Marie Hansen-Newby, LMT

  • Massage Therapist
  • Soldotna, AK
National Provider Identifier
1831661305
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
120147 Issued in AK
Practice address
34851 Kenai Spur Hwy Ste 2
Soldotna, AK 99669-7646
Phone
(907) 252-7454
NPI assigned
Dec 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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 120147 AK Primary

Addresses

Primary practice location

34851 Kenai Spur Hwy Ste 2
Soldotna, AK 99669-7646

Mailing address

PO Box 201
Kasilof, AK 99610-0201
Phone (907) 252-7454

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
120147AKMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1831661305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "KASILOF",
            "state": "AK",
            "postal_code": "996100201",
            "telephone_number": "907-252-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34851 KENAI SPUR HWY STE 2",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697646",
            "telephone_number": "907-252-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN-NEWBY",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "120147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.