Individual provider Active NPI

M'Lissa Charise Hayes, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1225203516
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60012890 Issued in WA
Practice address
5410 California Ave SW
Suite 203
Seattle, WA 98136-1562
Phone
(206) 331-3999
Fax
(206) 388-3226
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60012890 WA Primary

Addresses

Primary practice location

5410 California Ave SW
Suite 203
Seattle, WA 98136-1562

Mailing address

5410 California Ave SW
Suite 203
Seattle, WA 98136-1562
Phone (206) 331-3999

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
MA60012890WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1225203516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 CALIFORNIA AVE SW",
            "address_2": "SUITE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361562",
            "telephone_number": "206-331-3999",
            "fax_number": "206-388-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 CALIFORNIA AVE SW",
            "address_2": "SUITE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361562",
            "telephone_number": "206-331-3999",
            "fax_number": "206-388-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "M'LISSA",
        "middle_name": "CHARISE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60012890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.