MELISSA MAE GUSTAFSON (NPI# 1871955823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871955823 |
| Entity Type | Individual |
| Full Name | MELISSA MAE GUSTAFSON |
| Practice Address |
4220 A. St. Se Suite 103 Auburn WA 98002 |
| Practice Telephone | 2538334800 |
| Practice Fax Number | 2538334801 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60615920 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505670 | Melissa Jean Gustafson | Registered Nurse | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2019-06-03 |
| 1124574652 | Melissa Gustafson | Social Worker | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2016-08-25 |
| 1891176434 | Melissa Gustafson | Nurse Practitioner | 700 Welch Rd, Suite 301, Palo Alto, CA 94304-1502 | 2015-06-09 |
| 1508935180 | Melissa Marks Gustafson | Dentist | 3010 Baucom Rd, Ste 200, Charlotte, NC 28269-0983 | 2006-11-07 |
| Street Address |
4220 A. ST. SE SUITE 103 |
| City | AUBURN |
| State | WA |
| Zip Code | 98002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1487014809 | Madison Clair Emry | Specialist | 4017 A Street Se, B101, Auburn, WA 98002 | 2016-02-26 |
| Find all providers in zip 98002 | ||||
| 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 |
|---|---|---|---|---|
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1184230393 | Kelly Ann Wilkinson | Massage Therapist | 2260 E University Dr Apt 9b, Auburn, AL 36830-3342 | 2020-09-22 |
| 1740895861 | Jamie Leann Burnett | Massage Therapist | 102 1/2 Hillmont Ave, Auburn, CA 95603-4849 | 2020-09-15 |
| 1245845619 | Alyssa Michelle Miles | Massage Therapist | 31004 Military Rd S, Auburn, WA 98001-3218 | 2020-09-12 |
| 1033740444 | J & B LLC | Massage Therapist | 620 Auburn Way S Ste I, Auburn, WA 98002-6000 | 2020-02-04 |
| 1093346199 | Alyson Kate Sylvester | Massage Therapist | 990 Minot Ave, Auburn, ME 04210-3719 | 2020-01-28 |
| 1336770403 | Qinghua Zhao | Massage Therapist | 1101 Outlet Collection Way #1324, Auburn, WA 98001 | 2020-01-28 |
| 1841821154 | Sufang Liang | Massage Therapist | 1101 Outlet Collection Way, #1324, Auburn, WA 98001 | 2020-01-27 |
| 1295389682 | Lenora Burnett Pruzan | Massage Therapist | 4017 A St Se # B101, Auburn, WA 98002-8607 | 2019-07-24 |
| 1457910572 | Barbara Jeanne Doone | Massage Therapist | 1146 Minot Ave, Auburn, ME 04210-3739 | 2019-06-12 |
| Find all providers in AUBURN | ||||
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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.