Katie Tallent Maxwell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

191587 Issued in AK

Practice address

43335 Kalifornsky Beach Rd Ste 16H
Soldotna, AK 99669-8250

Phone

(907) 953-7874

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myo Massage Studio Alaska

  • Massage Therapist
  • Soldotna, AK
  • NPI 1154195113
  NPD Authorized official
• Spinal-Care Incorporated

  • Chiropractor
  • Kenai, AK
  • NPI 1285150573
  NPD (past)

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1952174245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53140 N SHORE CT",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996119642",
            "telephone_number": "907-953-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43335 KALIFORNSKY BEACH RD STE 16H",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698250",
            "telephone_number": "907-953-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLENT MAXWELL",
        "first_name": "KATIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "191587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Svec
• Pierce James Svec
• Eileen Karen Sverdrup, M.D.
• Kaitlyn Nicole Svopa, DPT
• Swiftwater Dermatology
• Brittany Maurine Taylor
• Rose M Taylor
• Cindy Irene Tennessen, RN
• The Dermatology and Skin Cancer Clinic of Alaska
• The Nesting Place, LLC

• Massage Therapist in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.