Individual provider Active NPI

Melissa Anne Pedrozo, EAMP, LAC

  • Acupuncturist
  • Tacoma, WA
National Provider Identifier
1699329037
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60979180 Issued in WA
Practice address
1944 Pacific Ave Ste 301a
Tacoma, WA 98402-3121
Phone
(253) 905-5848
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60979180 WA Primary

Addresses

Primary practice location

1944 Pacific Ave Ste 301a
Tacoma, WA 98402-3121

Mailing address

PO Box 820
Tacoma, WA 98401-0820
Phone (253) 905-5848

Other names 1

  • Ms. Meesa Pedrozo Other name

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
AC60979180WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1699329037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984010820",
            "telephone_number": "253-905-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 PACIFIC AVE STE 301A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023121",
            "telephone_number": "253-905-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROZO",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "EAMP, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60979180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEESA",
            "last_name": "PEDROZO",
            "prefix": "MS.",
            "credential": "EAMP, LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.