Organization Active NPI

Fly Free Wellness Center

Doing business as FLY Free

  • Case Management Agency
  • Shelton, WA
National Provider Identifier
1689480527
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FLY FREE WELLNESS CENTER
Doing business as
FLY Free
First Love Yourself Free Wellness Center
Practice address
113 S 2ND St
Shelton, WA 98584-3576
Phone
(360) 529-7619
NPI assigned
Dec 5, 2024
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Morgan B HodgsonNPI 1851161046
Title
Owner
Phone
(360) 529-7619

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)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

113 S 2ND St
Shelton, WA 98584-3576

Mailing address

22 E Cherry Park
Shelton, WA 98584-9161
Phone (360) 529-7619

Other names 2

  • FLY Free Doing business as
  • First Love Yourself Free Wellness Center Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1689480527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E CHERRY PARK",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985849161",
            "telephone_number": "360-529-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S 2ND ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843576",
            "telephone_number": "360-529-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY FREE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-529-7619"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLY Free",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Love Yourself Free Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 28, 2025; 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.