Melanie S. Keller, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015536 Issued in WA

Practice address

30476 154TH PL SE
Kent, WA 98042-5514

Phone

(253) 221-0190

Fax

(253) 631-5882

NPI assigned

Nov 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Melanie S. Berry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1932388345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30476 154TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98042",
            "telephone_number": "253-221-0190",
            "fax_number": "253-631-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30476 154TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425514",
            "telephone_number": "253-221-0190",
            "fax_number": "253-631-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MELANIE",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "BERRY",
            "middle_name": "S.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerald Eugene Kauth, D.D.S.
• Kci USA, Inc.
• Mary Elliott Keane
• Maryam Keikhosro-Kiani, DMD
• Jessica Kellam
• Kamryn Kellogg
• Devan Kelso, LMP
• June Kemboi
• Jaime Jozwiak Kemery
• Katie Jeane Kemp, L.M.P.

• Massage Therapist in Kent, WA
• Providers in Kent, 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 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.