MARANATHA JUBILEE (NPI# 1104435650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104435650 |
| Entity Type | Individual |
| Full Name | MARANATHA JUBILEE |
| Credential | LMT |
| Practice Address |
645 N Jessica Brooke Cir Ste D Wasilla AK 99654-7333 |
| Practice Telephone | 9074148184 |
| Mailing Telephone | 9074148184 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 156553 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
645 N JESSICA BROOKE CIR STE D |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1376189142 | Andree Jewell Akers | Massage Therapist | 1175 N Leatherleaf Loop, Wasilla, AK 99654-6527 | 2019-11-26 |
| 1407497209 | Rachel Summerlin | Massage Therapist | 501 N Knik St Ste B, Wasilla, AK 99654-7050 | 2019-10-02 |
| 1598316309 | Justice Kinne | Massage Therapist | 601 N Moriah Cir, Wasilla, AK 99623-0889 | 2019-09-23 |
| 1154974806 | Lonnie Urban | Massage Therapist | 4001 S Goose Bay Dr, Wasilla, AK 99623-9422 | 2019-07-22 |
| 1952963159 | Elisa King | Massage Therapist | 637 E Barra Loop, Wasilla, AK 99654-1607 | 2019-07-08 |
| 1558923052 | Amber Hauoli Jackson | Massage Therapist | 5820 W Locksley Loop, Wasilla, AK 99623-0874 | 2019-07-03 |
| 1417517566 | Talea Fiscus | Massage Therapist | 609 S Knik Goose Bay Rd Ste C, Wasilla, AK 99654-8079 | 2019-06-19 |
| 1922661537 | Ann Marie Diemer | Massage Therapist | 590 S Denali St, Wasilla, AK 99654-8117 | 2019-04-18 |
| 1649742586 | Garrett Wolf | Massage Therapist | 1624 E Scotwood Dr, Wasilla, AK 99654-1726 | 2018-12-17 |
| 1912478157 | Reanna Marie Stewart | Massage Therapist | 1700 E Bogard Rd Ste 203, Wasilla, AK 99654-6563 | 2018-12-16 |
| Find all providers in WASILLA | ||||
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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.