Melissa Granger

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1086 Issued in AL

Practice address

17048 Scenic Highway 98
Fairhope, AL 36532-1142

Phone

(251) 517-5383

NPI assigned

Aug 19, 2020

Last updated

Aug 19, 2020By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1275145492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18921 HEIDELBERG RD",
            "city": "SILVERHILL",
            "state": "AL",
            "postal_code": "365763014",
            "telephone_number": "251-767-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17048 SCENIC HIGHWAY 98",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321142",
            "telephone_number": "251-517-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14634253",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Caqh",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Caqh",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Caqh",
            "address_1": "17048 Scenic Highway 98",
            "city": "Fairhope",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365321142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kelly Ray Green, M.D.
• James J Griffin, MD
• Rodger Lance Grissett, DDS
• Maggie Grissom
• Ronald Leon Gross, M.D.

• Massage Therapist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Massage Therapist in Alabama

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