Kelly Melissa Maycumber, LRCP

Primary specialty

Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X

License

LR00003315 Issued in WA

Practice address

1501 Fraser St
BLDG M-106
Bellingham, WA 98229-9822

Phone

(360) 946-2828

Fax

(360) 249-9787

NPI assigned

May 13, 2020

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Afresh - Respiratory & Home Medical Equipment, PLLC

  dba AFresh - Respiratory Therapy Services & Equipment

  • Durable Medical Equipment & Medical Supplies
  • Bellingham, WA
  • NPI 1215550355
  NPD

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1609498500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 FRASER ST",
            "address_2": "BLDG M-106",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982298709",
            "telephone_number": "360-946-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 FRASER ST",
            "address_2": "BLDG M-106",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982299822",
            "telephone_number": "360-946-2828",
            "fax_number": "360-249-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYCUMBER",
        "first_name": "KELLY",
        "middle_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LRCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "WA",
            "license": "LR00003315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Stanley Maxwell, CHIROPRACTOR DC
• Stacie Marie Maxwell, MA-SPED/ABA, BCBA
• James Madison May IV, PSY.D
• Rachel Hill May, ARNP
• Johannah Lacy Maybach
• Katherine R Mayer, MD
• Robin Mayer, LMHC
• Diana Doris Maynard, LMT
• Silvanna Mayott
• Charlie McAdam, LBA

• Certified Respiratory Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Certified Respiratory Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.