Active NPI
Melissa A Venable, LMP
- Specialist
- Bellevue, WA
National Provider Identifier
1518159193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00021085
- Practice address
- 15650 NE 24TH St
Suite E
Bellevue, WA 98008-2460 - Phone
- (425) 827-2225
- Fax
- (425) 283-4192
- NPI assigned
- Aug 16, 2007
- Last updated
- Aug 16, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00021085 | WA | Primary |
Addresses
Primary practice location
15650 NE 24TH St
Suite E
Bellevue, WA 98008-2460
Mailing address
15650 NE 24TH St
Suite E
Bellevue, WA 98008-2460
Phone (425) 827-2225
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 |
|---|---|---|---|
| MA00021085 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Chiropractic Clinic of Bellevue PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dynamic Chiros
- Chiropractor
- Redmond, WA
- NPI 1225256407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1518159193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15650 NE 24TH ST",
"address_2": "SUITE E",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980082460",
"telephone_number": "425-827-2225",
"fax_number": "425-283-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15650 NE 24TH ST",
"address_2": "SUITE E",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980082460",
"telephone_number": "425-827-2225",
"fax_number": "425-283-4192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENABLE",
"first_name": "MELISSA",
"middle_name": "A",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00021085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 16, 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.