Ryse Oshare LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

RYSE OSHARE LLC

Doing business as

UP Wellness Spa

Practice address

7307 40TH St W
University Place, WA 98466-4385

Phone

(206) 858-2268

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By 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

Delisha Johnson, PA-CNPI 1114030566

Title

Ceo, Owner

Phone

(206) 858-2268

Specialties & licenses 1

Addresses

Other names 1

• UP Wellness Spa Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Delisha M Johnson, PAC

  • Physician Assistant
  • Port Orchard, WA
  • NPI 1114030566
  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1437868817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 40TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664385",
            "telephone_number": "206-858-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 40TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664385",
            "telephone_number": "206-858-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYSE OSHARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DELISHA",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "206-858-2268",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UP Wellness Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nichole Roy
• Evangejalynn Rund
• Megan Russell, PSY.D.
• Shannon Ryan, LICSW
• Evonne M Ryken, OTR
• Mohebat Sabeti, MD
• Julie A Sacha, LMT
• Sheler Sadati, MD
• Kaylyn Cristina Saguid, PT, DPT
• Marlin K Sakata, DMD

• Health Service Clinic/Center in University Place, WA
• Providers in University Place, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.