Active NPI
Lauren Mary Kelder, LMP
- Massage Therapist
- Renton, WA
National Provider Identifier
1790333045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60996357
- Practice address
- 15301 Maple Valley Hwy Ste 300
Renton, WA 98058-8128 - Phone
- (425) 988-3146
- Fax
- (425) 988-3151
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60996357 | WV | Primary |
Addresses
Primary practice location
15301 Maple Valley Hwy Ste 300
Renton, WA 98058-8128
Mailing address
15301 Maple Valley Hwy Ste 300
Renton, WA 98058-8128
Phone (425) 988-3146
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 |
|---|---|---|---|
| MA60996357 | WV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar River Chiropractic, LLC | Massage Therapist | Current | Accepting new patients |
Locations
15301 Maple Valley Hwy
Ste 300
Renton, WA 98058
Phone (425) 988-3146
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1790333045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15301 MAPLE VALLEY HWY STE 300",
"city": "RENTON",
"state": "WA",
"postal_code": "980588128",
"telephone_number": "425-988-3146",
"fax_number": "425-988-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 MAPLE VALLEY HWY STE 300",
"city": "RENTON",
"state": "WA",
"postal_code": "980588128",
"telephone_number": "425-988-3146",
"fax_number": "425-988-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELDER",
"first_name": "LAUREN",
"middle_name": "MARY",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "MA60996357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.