Individual provider Active NPI

Melinda Ann Keeling, LMT

  • Massage Therapist
  • Phoenix, AZ
National Provider Identifier
1396757100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-01465P Issued in AZ
Practice address
4018 N 40TH St
Phoenix, AZ 85018-5205
Phone
(602) 955-0551
Fax
(602) 956-8269
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MT-01465P AZ Primary

Addresses

Primary practice location

4018 N 40TH St
Phoenix, AZ 85018-5205

Mailing address

4018 N 40TH St
Phoenix, AZ 85018-5205
Phone (602) 955-0551

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
MT-01465PAZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A.R.E. Clinic, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396757100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185205",
            "telephone_number": "602-955-0551",
            "fax_number": "602-956-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185205",
            "telephone_number": "602-955-0551",
            "fax_number": "602-956-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELING",
        "first_name": "MELINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-01465P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.