She Wellness LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH60044896 Issued in WA

Legal business name

SHE WELLNESS LLC

Doing business as

She Wellness

Practice address

2319 N 45TH St Ste 105
Seattle, WA 98103-6947

Phone

(206) 259-8882

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mimi Jackson, DC

Title

President

Phone

(206) 259-8882

Specialties & licenses 1

Addresses

Other names 1

• She Wellness Doing business as

Locations

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1447555024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST STE 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036947",
            "telephone_number": "206-259-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST STE 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036947",
            "telephone_number": "206-259-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-259-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "WA",
            "license": "CH60044896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "She Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilma Shaw X, NTP
• Zoe Shaw, LMT
• Getnet E Shawel, MD
• Fadi Shaya, DMD, MSD
• Virginia Shayne
• Shea J. Welsh M.D.
• Annalynn Shea-Michiels, M.S., M.S.W
• Helen Denise Shea, RN
• Jill Diane Shea
• Katherine Shea, LAC, MACOM

• Nutrition Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Nutrition Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.