Active NPI
Monique Lynee Selvester, CMT
- Massage Therapist
- Alameda, CA
National Provider Identifier
1912595406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 55673
- Practice address
- 1336 Regent St
Alameda, CA 94501-4654 - Phone
- (707) 362-9757
- NPI assigned
- Jan 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 55673 | CA | Primary |
Addresses
Primary practice location
1336 Regent St
Alameda, CA 94501-4654
Mailing address
1336 Regent St
Alameda, CA 94501-4654
Phone (707) 362-9757
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | MindBody |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610150400000",
"number": "1912595406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 REGENT ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014654",
"telephone_number": "707-362-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1336 REGENT ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014654",
"telephone_number": "707-362-9757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELVESTER",
"first_name": "MONIQUE",
"middle_name": "LYNEE",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-09",
"last_updated": "2021-01-09",
"certification_date": "2021-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "55673",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "MindBody",
"affiliation": "N",
"endpointDescription": "Business Booking Software",
"address_1": "1336 Regent St",
"city": "Alameda",
"state": "CA",
"country_code": "US",
"postal_code": "945014654",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.