Leslie Meredith, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00025089 Issued in WA

Practice address

3316 1/2 4TH St
Suite 4a
Lewiston, ID 83501-4460

Phone

(208) 798-5420

Fax

(208) 798-5430

NPI assigned

Jan 13, 2009

Last updated

Jan 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clearwater Chiropractic & Acupuncture PA

  dba Cca

  • Chiropractor
  • Juliaetta, ID
  • NPI 1871761148
  NPD (past)

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1811134885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 1/2 4TH ST",
            "address_2": "SUITE 4A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014460",
            "telephone_number": "208-798-5420",
            "fax_number": "208-798-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 1/2 4TH ST",
            "address_2": "SUITE 4A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014460",
            "telephone_number": "208-798-5420",
            "fax_number": "208-798-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.