Active NPI
Melissa Marie Parra, CEP
- Clinical Exercise Physiologist
- Waitsburg, WA
National Provider Identifier
1114425048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 1053216
- Practice address
- 111 Preston Ave
Waitsburg, WA 99361-8808 - Phone
- (714) 853-3270
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | 1053216 | WA | Primary |
Addresses
Primary practice location
111 Preston Ave
Waitsburg, WA 99361-8808
Mailing address
PO Box 5
Dixie, WA 99329-0005
Other names 1
- Melissa Marie Lambert
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1053216 | WA | MD | Clinical Exercise Physiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1114425048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "DIXIE",
"state": "WA",
"postal_code": "993290005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PRESTON AVE",
"city": "WAITSBURG",
"state": "WA",
"postal_code": "993618808",
"telephone_number": "714-853-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRA",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "CEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "WA",
"license": "1053216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "LAMBERT",
"middle_name": "MARIE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waitsburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.