Active NPI
Laura A. Marcellay, LMP
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1740334051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 12014 SE Mill Plain Blvd Ste 200
Vancouver, WA 98684-4044 - Phone
- (360) 931-8204
- NPI assigned
- Jan 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00019689 | WA | |
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
12014 SE Mill Plain Blvd Ste 200
Vancouver, WA 98684-4044
Mailing address
501 SE 123Rd Ave Apt Z189
Vancouver, WA 98683-4044
Phone (360) 931-8204
Other practice location 1
526 Main St.
Brewster, WA 98812
Phone (509) 689-0781
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 |
|---|---|---|---|
| MA00019689 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1740334051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SE 123RD AVE APT Z189",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986834044",
"telephone_number": "360-931-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12014 SE MILL PLAIN BLVD STE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844044",
"telephone_number": "360-931-8204"
}
],
"practiceLocations": [
{
"address_1": "526 Main St.",
"address_purpose": "LOCATION",
"city": "Brewster",
"state": "WA",
"postal_code": "98812",
"country_code": "US",
"telephone_number": "509-689-0781",
"fax_number": "509-689-0783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCELLAY",
"first_name": "LAURA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00019689",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"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 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.