Individual provider Active NPI

Melinda Michele Collins, LMT

  • Massage Therapist
  • Cedar Rapids, IA
National Provider Identifier
1831753623
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
005798 Issued in IA
Practice address
2322 D Ave NE
Cedar Rapids, IA 52402-4921
Phone
(319) 321-1576
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 005798 IA Primary

Addresses

Primary practice location

2322 D Ave NE
Cedar Rapids, IA 52402-4921

Mailing address

2322 D Ave NE
Cedar Rapids, IA 52402-4921
Phone (319) 321-1576

Other identifiers 1

IdentifierTypeStateIssuer
775ZZ6780OtherIADRIVER LICENSE

Other names 1

  • Melinda Michele Collins 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
005798IAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1831753623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 D AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024921",
            "telephone_number": "319-321-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 D AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024921",
            "telephone_number": "319-321-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MELINDA",
        "middle_name": "MICHELE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "005798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "775ZZ6780",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "COLLINS",
            "middle_name": "MICHELE",
            "credential": "MELINDA COLLINS LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.