Organization Active NPI

Flourish Integrative Health and Acupuncture Inc.

  • Acupuncturist
  • Santa Rosa, CA
National Provider Identifier
1205333903
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13901 Issued in CA
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

Updated by the provider on Apr 9, 2018

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.