Individual provider Active NPI

Melissa Lynne McMaster, LMT. CCP

  • Massage Therapist
  • Overland Park, KS
National Provider Identifier
1609404250
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
THR-060707 Issued in KS
Practice address
9200 Glenwood St Ste 101E
Overland Park, KS 66212-1300
Phone
(816) 761-3847
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2005034943 MO
Massage Therapist 225700000X THR-060707 KS Primary

Addresses

Primary practice location

9200 Glenwood St Ste 101E
Overland Park, KS 66212-1300

Mailing address

9200 Glenwood St Ste 101E
Overland Park, KS 66212-1300
Phone (816) 761-3847

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
THR-060707KSMDMassage Therapist
2005034943MOMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1609404250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 GLENWOOD ST STE 101E",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121300",
            "telephone_number": "816-761-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 GLENWOOD ST STE 101E",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121300",
            "telephone_number": "816-761-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMASTER",
        "first_name": "MELISSA",
        "middle_name": "LYNNE",
        "credential": "LMT. CCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2005034943",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KS",
            "license": "THR-060707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.