Individual provider Active NPI

Deedee Marie Vancleef, L.M.P.

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1902940885
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00008446 Issued in WA
Practice address
624 W Hastings Rd Ste 11
Spokane, WA 99218-2877
Phone
(509) 464-1153
Fax
(509) 466-1216
NPI assigned
Feb 16, 2007
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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 MA00008446 WA Primary

Addresses

Primary practice location

624 W Hastings Rd Ste 11
Spokane, WA 99218-2877

Mailing address

13611 N Minihdoka TRL
Spokane, WA 99208-5066
Phone (509) 464-1153

Other names 1

  • Dorothy Marie Van Cleef Other 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
MA00008446WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1902940885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 N MINIHDOKA TRL",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085066",
            "telephone_number": "509-464-1153",
            "fax_number": "509-466-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W HASTINGS RD STE 11",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182877",
            "telephone_number": "509-464-1153",
            "fax_number": "509-466-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCLEEF",
        "first_name": "DEEDEE",
        "middle_name": "MARIE",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00008446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "VAN CLEEF",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.