Theresa K Meyers, LMP

Primary specialty

Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X

License

MA00023229 Issued in WA

Practice address

710 S Everett St
Kennewick, WA 99336-7159

Phone

(509) 430-6801

Fax

(509) 582-9578

NPI assigned

Aug 14, 2007

Last updated

Sep 30, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1063604908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S EVERETT ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365654",
            "telephone_number": "509-430-6801",
            "fax_number": "509-582-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S EVERETT ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367159",
            "telephone_number": "509-430-6801",
            "fax_number": "509-582-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "THERESA",
        "middle_name": "K",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "WA",
            "license": "MA00023229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0238998",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Meshulam
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• Shasta C Meyers
• MH Health Care Services, PC (Pacific Health Coalition - Tri Cities)
• Michael E. Shannon, D.M.D., P.S.C. (Shannon Dental Health Center)
• Jeffrey Carl Michaelis
• Sophie Ann Michel
• Mid Columbia Ambulance LLC

• Nurse Massage Therapist (NMT) in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Nurse Massage Therapist (NMT) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.