Melissa Marie Mackie, L.M.P

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60497798 Issued in WA

Practice address

1061 SE State Route 3
Shelton, WA 98584-9195

Phone

(360) 427-7461

NPI assigned

Mar 9, 2015

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

Other names 1

• Melissa Marie Duplesis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1730572256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985280166",
            "telephone_number": "360-340-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 SE STATE ROUTE 3",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985849195",
            "telephone_number": "360-427-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "L.M.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60497798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DUPLESIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Mabry, ARNP, PMHNP-BC
• Joel Paul Mabry, LMP
• Julie E Macdonald, MS, OTR
• Taylor May Machovsky
• Lyneah Macella Maciel, RN
• Marie Madrone, LMHC, SUDP
• Adrian Ronald Magnuson-Whyte, LMHC
• Sarah Marie Magnuson-Whyte, DNP, ARNP
• George Makori
• Christina T Maleney, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.