Individual provider Active NPI

Amy Reeber-Meade

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1811399603
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60501636 Issued in WA
Practice address
37 103Rd Ave NE
Suite a
Bellevue, WA 98004-5689
Phone
(425) 451-1171
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60501636 WA Primary

Addresses

Primary practice location

37 103Rd Ave NE
Suite a
Bellevue, WA 98004-5689

Mailing address

3409 Cheasty Blvd S
Seattle, WA 98144-6805
Phone (206) 595-9449

Other identifiers 1

IdentifierTypeStateIssuer
710879359OtherWACLINIC TAX ID

Other names 1

  • Amelia Reeber Professional name

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

LicenseStateTypeSpecialty
MA 60501636WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1811399603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CHEASTY BLVD S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446805",
            "telephone_number": "206-595-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 103RD AVE NE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045689",
            "telephone_number": "425-451-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEBER-MEADE",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60501636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC TAX ID",
            "identifier": "710879359",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "REEBER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.