Baylee Melcine Boustead, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-23832 Issued in OR

Practice address

114 E Hancock St
Newberg, OR 97132-2822

Phone

(503) 554-0661

NPI assigned

Feb 20, 2020

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Baylee Melcine Dunkel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Newberg Family Chiropractic PC

  • Chiropractor
  • Newberg, OR
  • NPI 1295844116
  NPD

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1093348708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 NE 41ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618808",
            "telephone_number": "360-713-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E HANCOCK ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322822",
            "telephone_number": "503-554-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSTEAD",
        "first_name": "BAYLEE",
        "middle_name": "MELCINE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT-23832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAYLEE",
            "last_name": "DUNKEL",
            "middle_name": "MELCINE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Newberg, OR
• Providers in Newberg, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.