Kelly Loranger, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60629754 Issued in WA

Practice address

1151 NW Sammamish Rd Ste 101
Issaquah, WA 98027-8937

Phone

(425) 369-1040

Fax

(425) 369-1041

NPI assigned

Feb 22, 2016

Last updated

Feb 22, 2016By 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Spine LLC

  • Chiropractor
  • Issaquah, WA
  • NPI 1265465058
  NPD (past)

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1215396965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14925 444TH AVE SE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459251",
            "telephone_number": "425-463-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 NW SAMMAMISH RD STE 101",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278937",
            "telephone_number": "425-369-1040",
            "fax_number": "425-369-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORANGER",
        "first_name": "KELLY",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60629754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPARTMENT OF LICENSE NUMBER",
            "identifier": "MA60629754",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Sue Martinen Lombardi, DDS, MSD
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• Sally Ann Lonneker, LMP
• Ruchi Loomba
• Elizabeth Ann Lorenzen, RN
• Sam Louie, M.A.
• Tommy L Love, DO
• Desiree Dawn Lovejoy, LMT
• Agnes Lovell, PA-C

• Specialist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.