Christa Medlock, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60167272 Issued in WA

Practice address

4791 W Van Giesen St Ste B
West Richland, WA 99353-5085

Phone

(509) 967-2225

Fax

(509) 967-2900

NPI assigned

Sep 2, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Core Concepts, PLLC

  • Chiropractor
  • West Richland, WA
  • NPI 1245491315
  NPD (past)
• TRSR, PLLC

  • Chiropractor
  • West Richland, WA
  • NPI 1326362542
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1982911517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4665",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993534011",
            "telephone_number": "509-967-2225",
            "fax_number": "509-967-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 W VAN GIESEN ST STE B",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535085",
            "telephone_number": "509-967-2225",
            "fax_number": "509-967-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "CHRISTA",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60167272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Matiaco, DO
• Tania Milad Matta, MD
• Michael David Maxfield, DDS
• Ronald Orin Maxfield, DDS
• Marie L McElderry, RDH, BS
• Ricardo Melendrez Jr., PA-C
• Wendy Mineke
• Crystal Rose Morin, LMP
• George Ghassan Moussallie, PHARMD
• Ms. Flower'S Interpreters & Translators LLC

• Massage Therapist in West Richland, WA
• Providers in West Richland, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.