Melissa Ann Victorine, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61080521 Issued in WA

Practice address

3131 Smokey Point Dr Ste 5B
Arlington, WA 98223-2301

Phone

(360) 653-9600

NPI assigned

Sep 19, 2020

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Asgard Massage PLLC

  • Massage Therapist
  • Arlington, WA
  • NPI 1467800938
  NPD (past)

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1205442787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17720 JIM CREEK RD",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238530",
            "telephone_number": "206-503-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 SMOKEY POINT DR STE 5B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982232301",
            "telephone_number": "360-653-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORINE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61080521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "61080521",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sondra Vasquez, LICSW
• Welsh Vaughan, LMT
• Amanda Marie Velazquez, PA-C
• Ryan M. Vellinga, MD
• Holly Alison Eunice Vick, ARNP
• Crystal Rose Vo, D.D.S.
• Mollie Madison Voigt
• Vop Cascade Valley, LLC
• Wal-Mart Stores Inc
• Danielle Marie Walker, LMHCA

• Massage Therapist in Arlington, WA
• Providers in Arlington, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.