Active NPI
Melody Sniffen, LMP
- Massage Therapist
- Federal Way, WA
National Provider Identifier
1407021264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00023313
- Practice address
- 33400 13TH PL S
Federal Way, WA 98003-6357 - Phone
- (255) 383-8607
- Fax
- (253) 838-6069
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00023313 | WA | Primary |
Addresses
Primary practice location
33400 13TH PL S
Federal Way, WA 98003-6357
Mailing address
215 S G St
#34
Tacoma, WA 98405-4706
Phone (253) 720-0315
Other names 1
- Melody Bonilla
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 |
|---|---|---|---|
| MA00023313 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Sports Rehab, Corp. | Massage Therapist | 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": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1407021264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S G ST",
"address_2": "#34",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054706",
"telephone_number": "253-720-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33400 13TH PL S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036357",
"telephone_number": "255-383-8607",
"fax_number": "253-838-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIFFEN",
"first_name": "MELODY",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00023313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELODY",
"last_name": "BONILLA",
"credential": "LMP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.