Blue Lotus Lumine Holistic Spa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

603563570 Issued in WA

Legal business name

BLUE LOTUS LUMINE HOLISTIC SPA

Practice address

404 1St St S
Suite H
Yelm, WA 98597-1215

Phone

(360) 955-5987

Fax

(360) 955-5987

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Claudia M Martius Shepherd, SPA OWNER MINISTRY

Title

Owner

Phone

(360) 259-7777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1366994196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 1ST ST S",
            "address_2": "SUITE H",
            "city": "YELM",
            "state": "WA",
            "postal_code": "98597",
            "telephone_number": "360-955-5987",
            "fax_number": "360-955-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 1ST ST S",
            "address_2": "SUITE H",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985971215",
            "telephone_number": "360-955-5987",
            "fax_number": "360-955-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LOTUS LUMINE HOLISTIC SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "MARTIUS SHEPHERD",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-259-7777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SPA OWNER MINISTRY"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "603563570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin June Bjorklund
• Benjamin Robert Blackner, DDS
• Daniel G Blackner, D.M.D.
• Aubree Nicole Blake, DPT
• Kyle Blake
• Bmore Family Practice PLLC
• Kristin Bogar, CPHT
• Denise E Boyd, PT
• Tanya Brandt, PTA
• Mary Doreen Briles

• Health Maintenance Organization in Yelm, WA
• Providers in Yelm, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.