Individual provider Active NPI

Melanie Crane, LMP

  • Mechanotherapist
  • Kennewick, WA
National Provider Identifier
1689919565
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA 60238713 Issued in WA
Practice address
1030 N Center Pkwy
#319
Kennewick, WA 99336-7160
Phone
(509) 591-6210
Fax
(509) 222-2223
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA 60238713 WA Primary

Addresses

Primary practice location

1030 N Center Pkwy
#319
Kennewick, WA 99336-7160

Mailing address

1030 N Center Pkwy
#319
Kennewick, WA 99336-7160
Phone (509) 591-6210

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
MA 60238713WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1689919565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N CENTER PKWY",
            "address_2": "#319",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367160",
            "telephone_number": "509-591-6210",
            "fax_number": "509-222-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N CENTER PKWY",
            "address_2": "#319",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367160",
            "telephone_number": "509-591-6210",
            "fax_number": "509-222-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "MELANIE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA 60238713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.