NPIMap

Organization Active NPI

Island Wellness Center

  • Mechanotherapist
  • Friday Harbor, WA
National Provider Identifier
1871024059
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA6888 Issued in WA
Legal business name
ISLAND WELLNESS CENTER
Practice address
470 Spring St Ste 103
Friday Harbor, WA 98250-7230
Phone
(360) 472-1356
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Amy C Bienvenu, C.R.,L.M.P.NPI 1831217843
Title
Owner
Phone
(360) 472-1356

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
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X MA6888 WA Primary

Addresses

Primary practice location

470 Spring St Ste 103
Friday Harbor, WA 98250-7230

Mailing address

PO Box 1796
Friday Harbor, WA 98250-1796
Phone (360) 472-1356

Other names 1

  • Amy C Bienvenu 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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1871024059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1796",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982501796",
            "telephone_number": "360-472-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SPRING ST STE 103",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507230",
            "telephone_number": "360-472-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "BIENVENU",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-472-1356",
        "authorized_official_credential": "C.R.,L.M.P."
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA6888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy C Bienvenu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friday Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.