Everett Meraz, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61623166 Issued in WA

Practice address

1508 Broadway St
Vancouver, WA 98663-3434

Phone

(360) 635-3477

NPI assigned

Nov 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Luis Sanchez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• At Vancouver Massage, LLC

  dba At Vancouver Massage

  • Massage Therapist
  • Vancouver, WA
  • NPI 1164926374
  NPD

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1811711559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 NE 103RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623325",
            "telephone_number": "360-999-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633434",
            "telephone_number": "360-635-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAZ",
        "first_name": "EVERETT",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61623166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "SANCHEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Magdalena Maria Mendoza
• Maya Mendoza
• Elizabeth Mendy, LPN
• Miranda Meng, LCSW, LICSW
• Rachel Menne, MS CCC-SLP
• Angel Alberto Mercado, SPANISH INTERPRETER
• Melissa Annmarie Mercer
• Mercy 1 Transportation, Inc.
• Meridian Therapeutics
• Brenda Merrill, CAAR.CG.60154768

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.