Back to Eden

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MM27262 Issued in FL

Legal business name

BACK TO EDEN

Practice address

209 SW Federal Hwy
Stuart, FL 34994-2003

Phone

(772) 600-5815

Fax

(772) 600-8012

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Lynnette R Blake, CNHP,ND

Title

Owner

Phone

(772) 600-5815

Specialties & licenses 2

Addresses

Other names 1

• Back to Eden Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1790085561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941005",
            "telephone_number": "772-600-5815",
            "fax_number": "772-600-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942003",
            "telephone_number": "772-600-5815",
            "fax_number": "772-600-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO EDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-600-5815",
        "authorized_official_credential": "CNHP,ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM27262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Eden Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amelia Azuaje Curi
• Ellen Babinsky, D.O.
• Marissa Babski
• Elizabeth Anne Bacha, D.D.S.
• John Bacha, DO
• Alexis Bacon, BT
• Trisha Ann Bacon, SLP
• Mircea Ovidiu Badara, M.D.
• Miranda J Badders
• Kayla Marina Badillo

• Massage Therapist in Stuart, FL
• Providers in Stuart, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.