Prairie Wellness Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PRAIRIE WELLNESS GROUP LLC

Practice address

13510 NE 228TH CT
Brush Prairie, WA 98606-4201

Phone

(360) 771-4018

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Megan Rosin

Title

Owner

Phone

(360) 771-4018

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1164206256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13510 NE 228TH CT",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986064201",
            "telephone_number": "360-771-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13510 NE 228TH CT",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986064201",
            "telephone_number": "360-771-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "ROSIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-771-4018"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Emily Moore, AAS, CDPT
• Amanda Drew Morgan, DC
• Viorica Muresan
• Sarah Pitoyo
• Veyra Margarita Prado Tinajero
• Terry Kay Puttkammer, PTA
• Marcia D Roberts, BA
• Audrianna Lynn Rossman, LMP
• Christy Jayne Runde, LMP
• Neal Salsgiver

• Specialist in Brush Prairie, WA
• Providers in Brush Prairie, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.