Organization Active NPI

Manifest Medicine PLLC

Doing business as Manifest Medicine

  • Health Service Clinic/Center
  • Eastsound, WA
National Provider Identifier
1144877671
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MANIFEST MEDICINE PLLC
Doing business as
Manifest Medicine
Practice address
The Healing Art Center
453 N Beach Rd
Eastsound, WA 98245-8927
Phone
(650) 437-5683
NPI assigned
Aug 20, 2019
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
April Hinsberger, ARNPNPI 1225520539
Title
Owner
Phone
(253) 266-0988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

The Healing Art Center
453 N Beach Rd
Eastsound, WA 98245-8927

Mailing address

PO Box 22
Waldron, WA 98297-0022

Other names 1

  • Manifest Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1144877671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "WALDRON",
            "state": "WA",
            "postal_code": "982970022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE HEALING ART CENTER",
            "address_2": "453 N BEACH RD",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982458927",
            "telephone_number": "650-437-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "HINSBERGER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-266-0988",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manifest Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastsound, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.