Individual provider Active NPI

Melissa Janine Goade

  • Massage Therapist
  • Sitka, AK
National Provider Identifier
1912662263
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
181451 Issued in AK
Practice address
111 Somer Dr
Sitka, AK 99835-9535
Phone
(907) 227-9694
NPI assigned
Nov 2, 2021
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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 181451 AK Primary

Addresses

Primary practice location

111 Somer Dr
Sitka, AK 99835-9535

Mailing address

111 Somer Dr
Sitka, AK 99835-9535
Phone (907) 227-9694

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Laptop Other

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
181451AKMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1912662263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SOMER DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359535",
            "telephone_number": "907-227-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SOMER DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359535",
            "telephone_number": "907-227-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOADE",
        "first_name": "MELISSA",
        "middle_name": "JANINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "181451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Laptop",
            "address_1": "111 Somer Dr",
            "city": "Sitka",
            "state": "AK",
            "country_code": "US",
            "postal_code": "998359535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.