Active NPI
Nicole V Ourso
- Massage Therapist
- Eagle River, AK
National Provider Identifier
1922770445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 181538
- Practice address
- 11823 Old Glenn Hwy Suite 108
Eagle River, AK 99577 - Phone
- (505) 587-3668
- NPI assigned
- Oct 3, 2021
- 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 | 181538 | AK | Primary |
Addresses
Primary practice location
11823 Old Glenn Hwy Suite 108
Eagle River, AK 99577
Mailing address
9930 William Jones Cir Apt 7
Anchorage, AK 99515
Phone (907) 267-9377
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 |
|---|---|---|---|
| 181538 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633219200000",
"number": "1922770445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9930 WILLIAM JONES CIR APT 7",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "907-267-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11823 OLD GLENN HWY SUITE 108",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "99577",
"telephone_number": "505-587-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OURSO",
"first_name": "NICOLE",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-03",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "181538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
- Cameron Osborne
- Peter J Osterbauer, M.D.
- Nancy J Ouimet, MD
- Chantel Lashaun Oukrop, O.D.
- Our Meadows LLC
- Pacific Rim Athletics LLC (Pacific Rim Athletics)
- Lea Palmer, RDN
- Pan Alaska Physical Therapy (Eagle Center Physical Therapy)
- Pan Alaska Physical Therapy (Eagle Center Physical Therapy)
- Anne Paolucci, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.