Individual provider Active NPI

Sheffany Poage, LMT

  • Massage Therapist
  • Soldotna, AK
National Provider Identifier
1962851048
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
110929 Issued in AK
Practice address
189 S Binkley St Ste 101
Soldotna, AK 99669-8061
Phone
(907) 262-0801
Fax
(907) 262-0860
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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
110929AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian E. Larson, D.C., P.C. Massage Therapist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 110929 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

189 S Binkley St Ste 101
Soldotna, AK 99669-8061

Mailing address

189 S Binkley St Ste 101
Soldotna, AK 99669-8061
Phone (907) 262-0801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2016.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1962851048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 S BINKLEY ST STE 101",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698061",
            "telephone_number": "907-262-0801",
            "fax_number": "907-262-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 S BINKLEY ST STE 101",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698061",
            "telephone_number": "907-262-0801",
            "fax_number": "907-262-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAGE",
        "first_name": "SHEFFANY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "110929",
            "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 Jun 8, 2016; 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.