Individual provider Active NPI

Melodee Giacomino, LMT

  • Massage Therapist
  • Hamilton, MT
National Provider Identifier
1417379884
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LMT-LMT-LIC-1260 Issued in MT
Practice address
201 Manhattan St
Hamilton, MT 59840-2845
Phone
(406) 360-9519
NPI assigned
Jan 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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 LMT-LMT-LIC-1260 MT Primary

Addresses

Primary practice location

201 Manhattan St
Hamilton, MT 59840-2845

Mailing address

201 Manhattan St
Hamilton, MT 59840-2845
Phone (406) 360-9519

Other names 1

  • Mrs. Melodee Mildenberger Former 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
LMT-LMT-LIC-1260MTMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1417379884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MANHATTAN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402845",
            "telephone_number": "406-360-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MANHATTAN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402845",
            "telephone_number": "406-360-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOMINO",
        "first_name": "MELODEE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-1260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODEE",
            "last_name": "MILDENBERGER",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.