Marnae Joyce Flores

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61246038 Issued in WA

Practice address

228 E Lauridsen Blvd
Port Angeles, WA 98362-7821

Phone

(360) 670-1114

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1649939661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAUK RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629353",
            "telephone_number": "360-670-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E LAURIDSEN BLVD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627821",
            "telephone_number": "360-670-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARNAE",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61246038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Fisher
• Samantha L Fisher
• Meghan Rose Fitzgerald, LMHC
• Patricia A Flood, LAC
• Kimberly Flores, RN
• Kyle Flotto-Myers, RN
• James F Flowers, M.D.
• FMG East Lauridsen Boulevard Washington LLC (Crestwood Health & Rehabilitation Center)
• Sara E Folden, MSW
• Jessica Ann Foley, CDPT

• Massage Therapist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.