Active NPI
Danielle Brooke Werner, LMT
- Massage Therapist
- Dutch Harbor, AK
National Provider Identifier
1912689761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 209459
- Practice address
- 125 Raven Way- 921028
Dutch Harbor, AK 99692-9969 - Phone
- (907) 581-4689
- NPI assigned
- Aug 2, 2023
- Last updated
- Aug 2, 2023
- 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 | 209459 | AK | Primary |
Addresses
Primary practice location
125 Raven Way- 921028
Dutch Harbor, AK 99692-9969
Mailing address
PO Box 1354
Unalaska, AK 99685-1354
Phone (928) 899-1764
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 |
|---|---|---|---|
| 209459 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1912689761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1354",
"city": "UNALASKA",
"state": "AK",
"postal_code": "996851354",
"telephone_number": "928-899-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 RAVEN WAY- 921028",
"city": "DUTCH HARBOR",
"state": "AK",
"postal_code": "996929969",
"telephone_number": "907-581-4689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "DANIELLE",
"middle_name": "BROOKE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "209459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dutch Harbor, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.