NPIMap

Organization Active NPI

Wildflowers Wellness

  • Health & Wellness Coach
  • Milford, NJ
National Provider Identifier
1396478186
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
WILDFLOWERS WELLNESS
Practice address
2 Alaco LN
Milford, NJ 08848-1905
Phone
(862) 268-7372
NPI assigned
Jul 8, 2022
Organization subpart
Yes
Parent organization
WILDFLOWERS WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Jacqueline Shea, MOT, BS OTR/LNPI 1932555935
Title
Occupational Therapist
Phone
(862) 268-7372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171400000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

2 Alaco LN
Milford, NJ 08848-1905

Mailing address

2 Alaco LN
Milford, NJ 08848-1905
Phone (862) 268-7372

Other names 1

  • Nourish to Flourish Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.wildflowersflourish.com Direct

National Provider Directory

National Provider Directory
Part of
Wildflowers Wellness

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": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1396478186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALACO LN",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481905",
            "telephone_number": "862-268-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALACO LN",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481905",
            "telephone_number": "862-268-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWERS WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILDFLOWERS WELLNESS",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "862-268-7372",
        "authorized_official_credential": "MOT, BS OTR/L"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.wildflowersflourish.com",
            "affiliation": "N",
            "endpointDescription": "Pediatric Occupational Therapy and Nutrition services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Alaco Ln",
            "city": "Milford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088481905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nourish to Flourish",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.