J Flair Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

J FLAIR WELLNESS

Doing business as

Great Falls Health & Wellness
Montana Skin & Laser and Center for Weight Management

Practice address

1415 Northwest Byp Ste 2
Great Falls, MT 59404-1710

Phone

(406) 788-6300

NPI assigned

Jan 16, 2023

Last updated

Apr 21, 2023By 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

Mrs. Jacqueline Cooke

Title

Owner

Phone

(406) 788-6300

Specialties & licenses 2

Addresses

Other names 2

• Great Falls Health & Wellness Doing business as
• Montana Skin & Laser and Center for Weight Management Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

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.

• Sarah Monzella Pack, MBA, MSN, FNP-BC

  • Family Nurse Practitioner
  • Great Falls, MT
  • NPI 1841853876
  Medicare reassignment NPD
• Adria Marena Strable, DNP-FNP

  • Family Nurse Practitioner
  • Great Falls, MT
  • NPI 1619793379

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1669187563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NORTHWEST BYP STE 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041710",
            "telephone_number": "406-788-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NORTHWEST BYP STE 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041710",
            "telephone_number": "406-788-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J FLAIR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-788-6300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Falls Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montana Skin & Laser and Center for Weight Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Itoh, MS OTR
• Marilyn J Ivers, LCPC
• Sheldon G. Ivers, DDS
• Jamey Lynn Ivey, LCPC
• Ivy at Great Falls LLC
• Luke Jarvis Jackson, CRNA
• Emilie Sue Jacobsen, MD
• Leah M Jacobsen, AU.D., CCC-A
• Daniel Wade Jacobson, RPH
• Victoria Jager, LCPC, LAC

• Family Nurse Practitioner in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.