Organization Active NPI

Flourish LLC

  • Naturopath
  • Vancouver, WA
National Provider Identifier
1467721852
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT00001411 Issued in WA
Legal business name
FLOURISH LLC
Practice address
8301 NE Hazel Dell Ave
Vancouver, WA 98665-8047
Phone
(360) 696-3800
Fax
(360) 696-0906
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Jaymie Mackler, N.D., LAC
Title
Owner
Phone
(360) 696-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC 00002759 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT00001411 WA Primary

Addresses

Primary practice location

8301 NE Hazel Dell Ave
Vancouver, WA 98665-8047

Mailing address

PO Box 65759
Vancouver, WA 98665-0026
Phone (360) 696-3800

National Provider Directory

National Provider Directory

Locations

8301 NE Hazel Dell Ave
Vancouver, WA 98665
Phone (360) 696-3800

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1467721852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65759",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650026",
            "telephone_number": "360-696-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 NE HAZEL DELL AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658047",
            "telephone_number": "360-696-3800",
            "fax_number": "360-696-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "MACKLER",
        "authorized_official_first_name": "JAYMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-696-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D., LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 00002759",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.