CHRYSTLE WILLIEFAY WHITE (NPI# 1366051203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366051203 |
| Entity Type | Individual |
| Full Name | CHRYSTLE WILLIEFAY WHITE |
| Credential | LMT |
| Practice Address |
12900 W Creek Frontage Rd Big Lake AK 99623-4880 |
| Mailing Address |
Po Box 520794 Big Lake AK 99652-0794 |
| Practice Telephone | 9078927335 |
| Practice Fax Number | 9077371429 |
| Mailing Telephone | 9072316299 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 107683 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MASSAGE THERAPIST | 107683 | 01 |
| Street Address |
12900 W CREEK FRONTAGE RD |
| City | BIG LAKE |
| State | AK |
| Zip Code | 99623-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306293428 | Renae Jean Nelson | Massage Therapist | 3498 South Lakeview Loop, Big Lake, AK 99652 | 2016-05-18 |
| 1568828614 | Lakeview Massage Therapy | Massage Therapist | 3498 S Lakeview Loop, Big Lake, AK 99652 | 2016-01-05 |
| 1295944692 | Sylvia Kooyman Nelson | Massage Therapist | 670 Humboldt Drive, Big Lake, MN 55309 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1346853322 | Phillip Zimmerly | Massage Therapist | 2120 E 73rd Ave Apt 1, Anchorage, AK 99507-2790 | 2020-08-28 |
| 1790397461 | Hannah S Ross | Massage Therapist | 776 Bullion Dr, Fairbanks, AK 99712-2035 | 2020-08-23 |
| 1639780596 | Sports Injury Chiropractic | Massage Therapist | 8867 Eagle Place Loop, Eagle River, AK 99577-8844 | 2020-08-13 |
| 1104435650 | Maranatha Jubilee | Massage Therapist | 645 N Jessica Brooke Cir Ste D, Wasilla, AK 99654-7333 | 2020-07-29 |
| 1952910861 | Katherine J Nelson | Massage Therapist | 1325 State Street, Skagway, AK 99840 | 2020-07-27 |
| 1295344513 | Caroleen Theresa Monnseratt | Massage Therapist | 6511 E 8th Ave Apt 2, Anchorage, AK 99504-1779 | 2020-07-23 |
| 1174131726 | Chantel Mcvee | Massage Therapist | 1601 Baylor Way, Anchorage, AK 99508-4403 | 2020-07-20 |
| 1740807122 | Barbara Ellen Bennett | Massage Therapist | 3333 Denali St Ste 150, Anchorage, AK 99503-4046 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.