Active NPI
Melissa Annette Schram, LMP
- Specialist
- Vancouver, WA
National Provider Identifier
1720313141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60098708
- Practice address
- 109 SE 101St Ave
Vancouver, WA 98664-3907 - Phone
- (360) 852-6291
- Fax
- (360) 852-6291
- NPI assigned
- Oct 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA60098708 | WA | Primary |
Addresses
Primary practice location
109 SE 101St Ave
Vancouver, WA 98664-3907
Mailing address
15600 NE 48TH St
Vancouver, WA 98682-5217
Phone (360) 852-6291
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60098708 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1720313141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 NE 48TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986825217",
"telephone_number": "360-852-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 SE 101ST AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643907",
"telephone_number": "360-852-6291",
"fax_number": "360-852-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAM",
"first_name": "MELISSA",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-03",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60098708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.