Individual provider Active NPI

Leanne Michelle Melang, LMP

  • Massage Therapist
  • Edmonds, WA
National Provider Identifier
1346491024
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020221 Issued in WA
Practice address
22727 Hwy 99 Ste 109
Edmonds, WA 98026-8381
Phone
(425) 774-1090
Fax
(425) 775-9797
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 MA00020221 WA Primary

Addresses

Primary practice location

22727 Hwy 99 Ste 109
Edmonds, WA 98026-8381

Mailing address

22727 Hwy 99 Ste 109
Edmonds, WA 98026-8381
Phone (425) 774-1090

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
MA00020221WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1346491024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22727 HWY 99 STE 109",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268381",
            "telephone_number": "425-774-1090",
            "fax_number": "425-775-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22727 HWY 99 STE 109",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268381",
            "telephone_number": "425-774-1090",
            "fax_number": "425-775-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANG",
        "first_name": "LEANNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.