Active NPI
Naturally Blooming
- Community/Behavioral Health Agency
- Shelton, WA
National Provider Identifier
1588310346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NATURALLY BLOOMING
- Practice address
- 1133 E Phillips Lake Rd
Shelton, WA 98584-8182 - Phone
- (360) 432-2700
- NPI assigned
- Mar 1, 2022
- Last updated
- Mar 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Jo Wheeler, PHD
- Title
- Owner
- Phone
- (360) 432-2700
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1133 E Phillips Lake Rd
Shelton, WA 98584-8182
Mailing address
1133 E Phillips Lake Rd
Shelton, WA 98584-8182
Phone (360) 432-2700
National Provider Directory
National Provider DirectoryLocations
218 Mark E Reed Way
Unit 2421
Shelton, WA 98584
Practitioners & affiliated clinicians
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.
-
- Clinical Psychologist
- Shelton, WA
- NPI 1336557040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646092800000",
"number": "1588310346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 E PHILLIPS LAKE RD",
"city": "SHELTON",
"state": "WA",
"postal_code": "985848182",
"telephone_number": "360-432-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 E PHILLIPS LAKE RD",
"city": "SHELTON",
"state": "WA",
"postal_code": "985848182",
"telephone_number": "360-432-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURALLY BLOOMING",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-432-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.