Mia Melony Lucey, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00024533 Issued in WA

Practice address

919 State Ave
Ste 102
Marysville, WA 98270-4284

Phone

(360) 653-6010

Fax

(360) 653-6008

NPI assigned

Nov 15, 2011

Last updated

Nov 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• SSFC PS

  dba State Street Family Chiropractic

  • Chiropractor
  • Marysville, WA
  • NPI 1972723641
  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1235416496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 STATE AVE",
            "address_2": "STE 102",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704284",
            "telephone_number": "360-653-6010",
            "fax_number": "360-653-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 STATE AVE",
            "address_2": "STE 102",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704284",
            "telephone_number": "360-653-6010",
            "fax_number": "360-653-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCEY",
        "first_name": "MIA",
        "middle_name": "MELONY",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00024533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Maria Lopez
• Misky Kusii Lopez, DDS
• Janella Lourenco
• Tanner Michelle Lousberg
• David A Lu, D.O.
• Christopher George Lugo, D.M.D.
• Cuong Q. Luu, D.D.S.
• Monique Luu
• Faith E Lykken, LMP
• M Virk DMD, PLLC (Dentistry @ Marysville)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.