Individual provider Active NPI

Claudette Meno, LMP

  • Specialist
  • Poulsbo, WA
National Provider Identifier
1194967125
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00022253 Issued in WA
Practice address
19045 State Highway 305 NE Ste 203
Poulsbo, WA 98370-8781
Phone
(360) 779-7800
Fax
(360) 779-7060
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00022253 WA Primary

Addresses

Primary practice location

19045 State Highway 305 NE Ste 203
Poulsbo, WA 98370-8781

Mailing address

19045 State Highway 305 NE Ste 203
Poulsbo, WA 98370-8781
Phone (360) 779-7800

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

LicenseStateTypeSpecialty
MA00022253WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dewilde Chiropractic Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1194967125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19045 STATE HIGHWAY 305 NE STE 203",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708781",
            "telephone_number": "360-779-7800",
            "fax_number": "360-779-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19045 STATE HIGHWAY 305 NE STE 203",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708781",
            "telephone_number": "360-779-7800",
            "fax_number": "360-779-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENO",
        "first_name": "CLAUDETTE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.