Active NPI
Melba Lazette Grant
- Other Technician
- Bellevue, WA
National Provider Identifier
1073270542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1412 140TH PL NE
Bellevue, WA 98007-3915 - Phone
- (425) 747-7892
- Fax
- (425) 747-8348
- NPI assigned
- Nov 19, 2021
- Last updated
- Nov 19, 2021
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1412 140TH PL NE
Bellevue, WA 98007-3915
Mailing address
1412 140TH PL NE
Bellevue, WA 98007-3915
Phone (425) 747-7892
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Health Services | Past | Accepting new patients | |
| Therapeutic Health Services | Past | Accepting new patients |
Organizations & group practices 2
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": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1073270542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 140TH PL NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073915",
"telephone_number": "425-747-7892",
"fax_number": "425-747-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 140TH PL NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073915",
"telephone_number": "425-747-7892",
"fax_number": "425-747-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "MELBA",
"middle_name": "LAZETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.