Individual provider Active NPI

Mary Vee Vonranker, LMP, CR

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1407040074
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013123 Issued in WA
Practice address
2300 130TH Ave NE
BLDG a, Suite 103
Bellevue, WA 98005-1755
Phone
(425) 591-3779
Fax
(425) 228-8288
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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 MA00013123 WA Primary

Addresses

Primary practice location

2300 130TH Ave NE
BLDG a, Suite 103
Bellevue, WA 98005-1755

Mailing address

PO Box 40089
Bellevue, WA 98015-4089
Phone (425) 591-3779

Other names 1

  • Mary Uschold Other name

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
MA00013123WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1407040074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40089",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980154089",
            "telephone_number": "425-591-3779",
            "fax_number": "425-228-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 130TH AVE NE",
            "address_2": "BLDG A, SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051755",
            "telephone_number": "425-591-3779",
            "fax_number": "425-228-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONRANKER",
        "first_name": "MARY",
        "middle_name": "VEE",
        "credential": "LMP, CR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "USCHOLD",
            "credential": "LMP, CR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.