Active NPI
Flourish Integrative Health and Acupuncture Inc.
- Acupuncturist
- Santa Rosa, CA
National Provider Identifier
1205333903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13901
- Legal business name
- FLOURISH INTEGRATIVE HEALTH AND ACUPUNCTURE INC.
- Practice address
- 431 Humboldt St Ste a
Santa Rosa, CA 95404-4288 - Phone
- (707) 205-1224
- NPI assigned
- Apr 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vladislava Starkov, LAC
- Title
- Founder
- Phone
- (707) 205-1224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 13901 | CA | Primary |
Addresses
Primary practice location
431 Humboldt St Ste a
Santa Rosa, CA 95404-4288
Mailing address
PO Box 4173
Santa Rosa, CA 95402-4173
Phone (707) 205-1224
Other names 1
- Flourish Integrative Health
National Provider Directory
National Provider DirectoryLocations
431 Humboldt St
Ste A
Santa Rosa, CA 95404
Phone (707) 205-1224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Santa Rosa, CA
- NPI 1730703976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523232000000",
"number": "1205333903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4173",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954024173",
"telephone_number": "707-205-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 HUMBOLDT ST STE A",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044288",
"telephone_number": "707-205-1224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISH INTEGRATIVE HEALTH AND ACUPUNCTURE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A",
"authorized_official_last_name": "STARKOV",
"authorized_official_first_name": "VLADISLAVA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "707-205-1224",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "13901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Flourish Integrative Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Flourish Integrative Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.