Active NPI
Melissa Ann Morency, MT
- Massage Therapist
- Excelsior, MN
National Provider Identifier
1558854042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 23505 County Road 19
Excelsior, MN 55331 - Phone
- (952) 470-8555
- NPI assigned
- Jun 11, 2018
- 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 | Primary |
Addresses
Primary practice location
23505 County Road 19
Excelsior, MN 55331
Mailing address
23505 County Road 19
Excelsior, MN 55331
Phone (952) 470-8555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411965436 | Medicaid | MN |
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
- Credentials
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1558854042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23505 COUNTY ROAD 19",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "55331",
"telephone_number": "952-470-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23505 COUNTY ROAD 19",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "55331",
"telephone_number": "952-470-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENCY",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411965436",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Excelsior, MN
- Shari Lynn Michels
- Minnesota Micro Medicine
- Minnesota Otolaryngology, P.a.
- Minnetonka Health Care Center, Inc. (Lake Minnetonka Care Center)
- Momentum Health & Wellness, PLLC
- Miranda Moser, RN
- Brittany Mulder, D.C.
- Sandra Ryan Myhre, MSW, LICSW
- Celesta Cartrite Myland, M.S.,CCC/A
- Jamie Lynn Neisen, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.