Illuminate.Me LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ILLUMINATE.ME LLC

Practice address

3888 NW Randall Way Ste 203
Silverdale, WA 98383-7847

Phone

(360) 204-5202

NPI assigned

Jul 13, 2021

Last updated

Dec 28, 2021By 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

Kelsey Froula, ARNPNPI 1538621461

Title

Owner

Phone

(360) 204-5202

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Kelsey Ann Froula, ARNP

  • Family Nurse Practitioner
  • Silverdale, WA
  • NPI 1538621461
  Authorized official Same address or phone

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1912579525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 203",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "136-020-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 203",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-204-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE.ME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "FROULA",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-204-5202",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP61110429",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanine Marie Hurst, LMT
• Heather Lind Hush, LMT
• Karen Huston, RBT
• Phuong Anh Ngoc Huynh
• Kristina Marie Ieronimakis
• Indigo Fountain Massage
• Inletconsulting (Dyes Inlet Counseling)
• Integrated Chiropractic
• Justine B Jaacks
• Chelsea M Jack

• Primary Care Clinic/Center in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.