Individual provider Active NPI

Melody E Norwood, LMP

  • Specialist
  • University Place, WA
National Provider Identifier
1003016692
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00016792 Issued in WA
Practice address
2607 Bridgeport Way W
Suite1-D
University Place, WA 98466-4700
Phone
(253) 564-6747
Fax
(253) 566-9104
NPI assigned
Jul 20, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00016792 WA Primary

Addresses

Primary practice location

2607 Bridgeport Way W
Suite1-D
University Place, WA 98466-4700

Mailing address

2607 Bridgeport Way W
Suite1-D
University Place, WA 98466-4700
Phone (253) 564-6747

Other identifiers 1

IdentifierTypeStateIssuer
0217989OtherWAL&I

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
MA00016792WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University Place Chiropractic Inc PastSince May 18, 2007 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1003016692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W",
            "address_2": "SUITE1-D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664700",
            "telephone_number": "253-564-6747",
            "fax_number": "253-566-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W",
            "address_2": "SUITE1-D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664700",
            "telephone_number": "253-564-6747",
            "fax_number": "253-566-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORWOOD",
        "first_name": "MELODY",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00016792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0217989",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.