MELLISA MARIE EVERETT (NPI# 1922500776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922500776 |
| Entity Type | Individual |
| Full Name | MELLISA MARIE EVERETT |
| Credential | LMT |
| Practice Address |
3414 Nm- 47 Los Lunas NM 87031 |
| Mailing Address |
90 Otero Rd Los Lunas NM 87031-5709 |
| Practice Telephone | 5055074773 |
| Mailing Telephone | 5055074773 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8806 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3414 NM- 47 |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| 1730691742 | Larissa Baldonado | Registered Nurse | 236 Don Pasqual Rd Nw, Los Lunas, NM 87031 | 2017-10-31 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376958991 | Spa 'n' Cuisine, Inc. | Massage Therapist | 5 Thomas Rd, Los Lunas, NM 87031-7549 | 2014-06-23 |
| 1114209004 | Donna Jo Grant | Massage Therapist | 1603 Main St Sw, Los Lunas, NM 87031-8766 | 2011-09-15 |
| 1992020879 | Diane Lee Naan | Massage Therapist | 3409 State Highway 47, Los Lunas, NM 87031-6336 | 2010-04-02 |
| 1952560849 | Lucille Christine Giron | Massage Therapist | 2050 Main St Ne, Los Lunas, NM 87031-6337 | 2008-06-05 |
| 1598088478 | Ellen Margareta Santistevan | Massage Therapist | 335 Luna St Se, Los Lunas, NM 87031-9277 | 2010-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981973 | Sara Drake Harsh | Massage Therapist | 2074 Galisteo St Ste A5, Santa Fe, NM 87505-2104 | 2020-10-27 |
| 1205434677 | Jessica Arbour | Massage Therapist | 78 Ute Valley Road, Questa, NM 87556-8755 | 2020-10-16 |
| 1003423872 | Laura Jolly | Massage Therapist | 1963 Kiva Rd, Santa Fe, NM 87505-3314 | 2020-09-25 |
| 1609492479 | Michele Higgins | Massage Therapist | 107 Plaza Garcia Ste B, Taos, NM 87571-6256 | 2020-06-17 |
| 1396369997 | Darla Rae Shrock | Massage Therapist | 8821 Golf Course Rd Nw, Albuquerque, NM 87114-5726 | 2020-05-31 |
| 1669000592 | Eric Revels | Massage Therapist | University of New Mexico Msco6 3870, Albuquerque, NM 87131-0001 | 2020-03-27 |
| 1912532292 | Bertha Ponce | Massage Therapist | 1229 S Saint Francis Dr Ste A, Santa Fe, NM 87505-4052 | 2020-03-07 |
| 1710510458 | Ellen Annette Santistevan-salazar | Massage Therapist | 1410 Sunset Rd Se, Rio Rancho, NM 87124-2629 | 2020-02-21 |
| 1811528342 | James Harold Dyer Jr. | Massage Therapist | 18648 C Private Dr, Espanola, NM 87532-8753 | 2020-02-03 |
| 1780223149 | Jaclynn Arden | Massage Therapist | 4011 Barbara Loop Se Ste 104a, Rio Rancho, NM 87124-1040 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.