Active NPI
Melanie A Galvan, LMP, RH
- Specialist
- Tacoma, WA
National Provider Identifier
1336396423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60012018
- Practice address
- 706 Market St
Tacoma, WA 98402-3712 - Phone
- (253) 473-7830
- NPI assigned
- Aug 20, 2008
- Last updated
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA60012018 | WA | Primary |
Addresses
Primary practice location
706 Market St
Tacoma, WA 98402-3712
Mailing address
1043 S Macarthur St
Tacoma, WA 98465-1823
Phone (253) 389-4077
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60012018 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Spa, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Serenity Spa & Natural Health Clinic
- Multi-Specialty Clinic/Center
- Tacoma, WA
- NPI 1134384555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1336396423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 S MACARTHUR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984651823",
"telephone_number": "253-389-4077",
"fax_number": "253-212-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 MARKET ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023712",
"telephone_number": "253-473-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN",
"first_name": "MELANIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LMP, RH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60012018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.