Active NPI
Melanie Moeller, LMP
- Specialist
- Bonney Lake, WA
National Provider Identifier
1063653277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60077018
- Practice address
- 19950 S Prairie Rd E
Bonney Lake, WA 98391-7901 - Phone
- (253) 862-1555
- Fax
- (253) 862-1557
- NPI assigned
- Mar 18, 2009
- Last updated
- Jan 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA60077018 | WA | Primary |
Addresses
Primary practice location
19950 S Prairie Rd E
Bonney Lake, WA 98391-7901
Mailing address
19950 S Prairie Rd E
Bonney Lake, WA 98391-7901
Phone (253) 862-1555
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60077018 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henschell Chiropractic, P.S. | Past | 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.
-
- Chiropractor
- Bonney Lake, WA
- NPI 1255354296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1063653277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19950 S PRAIRIE RD E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983917901",
"telephone_number": "253-862-1555",
"fax_number": "253-862-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19950 S PRAIRIE RD E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983917901",
"telephone_number": "253-862-1555",
"fax_number": "253-862-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLER",
"first_name": "MELANIE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60077018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonney Lake, WA
- Margaret Elizabeth Metzger, P.T.
- Ryan Douglas Miles, LMHC
- Marcie J Miller, LMP
- Cristina Miramontes
- Mobile Total Wellness, PLLC
- Aaron Christopher Mohr, DPT
- Mountain View Chirorpactic PLLC (Mountain View Chiropractic and Wellness Center)
- Tracey L Mullian, MSW, LICSW
- Multicare Health System
- Multicare Health System
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.