Moriah Hamlin Waldenberg, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00023730 Issued in WA

Practice address

110 N Blakeley St
Monroe, WA 98272-1823

Phone

(425) 308-4812

Fax

(360) 794-9377

NPI assigned

Dec 17, 2007

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cosgrove Chiropractic PS

  • Chiropractor
  • Monroe, WA
  • NPI 1831691476
  NPD (past)
• Sky Valley Chiropractic Clinic P.S.

  • Chiropractor
  • Monroe, WA
  • NPI 1932541182
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1700069473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N BLAKELEY ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721823",
            "telephone_number": "425-308-4812",
            "fax_number": "360-794-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BLAKELEY ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721823",
            "telephone_number": "425-308-4812",
            "fax_number": "360-794-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDENBERG",
        "first_name": "MORIAH",
        "middle_name": "HAMLIN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Marie Vickers, LMP
• Laura Beth Wagner, N. D.
• Charlene Jeanette Wahl, LMP
• Wal-Mart Stores, Inc (Wal-Mart Vision Center 30-5628)
• David Edward Wald, LMP
• Martin Waldrip
• Cassidy Walker, RN
• Jeffrey Allen Wallhoff, M.D.
• Denise L Walls, SUDP
• Walmart Inc. (WalMart Pharmacy 10-5628)

• Massage Therapist in Monroe, WA
• Providers in Monroe, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.