Flourishlmt PLLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

FLOURISHLMT PLLC

Practice address

8221 NE Hazel Dell Ave Ste 104
Vancouver, WA 98665-8153

Phone

(360) 334-6373

Fax

(360) 583-3559

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Jestyne Mae McCauley, LMTNPI 1104587955

Title

Massage Therapist

Phone

(360) 334-6373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Flourish Massage Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jestyne Mae McCauley, LMT

  • Massage Therapist
  • Vancouver, WA
  • NPI 1104587955
  NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1346965043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 NE HAZEL DELL AVE STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658153",
            "telephone_number": "360-334-6373",
            "fax_number": "360-583-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 NE HAZEL DELL AVE STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658153",
            "telephone_number": "360-334-6373",
            "fax_number": "360-583-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISHLMT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "JESTYNE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-334-6373",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "11045879554",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "flourishlmt@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Fax",
            "address_1": "8221 NE Hazel Dell Ave Ste 107",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986658153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Flourish Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omar Alejandro Flores, DC
• Valeria Flores
• William Joseph Florkowski, PHARM D
• Flourish LLC
• Flourish: a Space for Dimensional Healing
• Kristen M Flowers, MFTA
• Miley Celeste Flowers, LMP
• Crystal A Floyd, PTA
• Kalee-Glynn Mikiko Floyd, LMHCA
• Kiersten Norene Flyckt, PHARMD

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.