MELISSA JO TETREAULT – Specialist, NPI 1487793790

MELISSA JO TETREAULT is a healthcare provider. based in Lake stevens, Washington. specializing in Specialist. They hold a License No. MA00017810 (WA). The NPI Number for MELISSA JO TETREAULT is 1487793790

Main info

Female
Name
MELISSA JO TETREAULT
NPI
1487793790
Phone
(425) 334-6258
Address
11009 69TH ST NE
Enumeration Date
5 February 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MELISSA JO TETREAULT

  • 11009 69TH ST NE

    LAKE STEVENS, WA 982582047

    Phone: (425) 334-6258

    Fax: (425) 334-1187

    Type: Mailing

  • 303 91ST AVE NE

    SUITE E504

    EVERETT, WA 982051541

    Phone: (425) 334-6258

    Fax: (425) 334-1187

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98258)

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Reviews

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Frequently asked questions

What number should I use to identify MELISSA JO TETREAULT for billing?
Administrative and clinical systems typically use NPI 1487793790 for MELISSA JO TETREAULT.
Should I treat MELISSA JO TETREAULT as an active provider?
Patients and plans typically see MELISSA JO TETREAULT as active in the national extract.
What services align with MELISSA JO TETREAULT's listing?
MELISSA JO TETREAULT's public classification highlights Other Service Providers. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MELISSA JO TETREAULT?
MELISSA JO TETREAULT is associated with Lake Stevens, Washington in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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