Melisa A Kraayvanger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00033895 Issued in WA

Practice address

827 S Burlington Blvd
Burlington, WA 98233-3307

Phone

(360) 757-4101

Fax

(360) 757-4808

NPI assigned

Dec 29, 2006

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

Other identifiers 1

Other names 1

• Melisa A Goad Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Cascade Health Care Inc

  • Chiropractor
  • Burlington, WA
  • NPI 1871715003
  NPD (past)
• Cascade Health LLC

  • Chiropractor
  • Burlington, WA
  • NPI 1679036586
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1902962269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333307",
            "telephone_number": "360-757-4101",
            "fax_number": "360-757-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333307",
            "telephone_number": "360-757-4101",
            "fax_number": "360-757-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAAYVANGER",
        "first_name": "MELISA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC L&I",
            "identifier": "139434",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISA",
            "last_name": "GOAD",
            "middle_name": "A",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelsey Dawn Kok, BSW
• Kathleen Kollmar-Wadland, PAC
• Justin Kooistra
• Kotlerman Family Health LLC
• Zachary Aaron Kotlerman, DC
• Rosemarie Labelle, LMP
• Tanya Rene Larson, LMP
• Michael Anderson Layton, DC, PA
• Pawadee Lohavanichbutr, MD
• Shala Look, CCC-SLP

• Chiropractor in Burlington, WA
• Providers in Burlington, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.