Active NPI
Island Wellness Resources PLLC
- Medical Specialty Clinic/Center
- Bainbridge Island, WA
National Provider Identifier
1932334778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- CH60030711
- Legal business name
- ISLAND WELLNESS RESOURCES PLLC
- Practice address
- 15445 Sunrise Drive NE
Bainbridge Island, WA 98110 - Phone
- (206) 842-6714
- Fax
- (206) 842-1667
- NPI assigned
- May 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine A. Grams, DC
- Title
- Chiropractor/Business Owner
- Phone
- (206) 842-6714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | CH60030711 | WA | Primary |
Addresses
Primary practice location
15445 Sunrise Drive NE
Bainbridge Island, WA 98110
Mailing address
321 High School Road NE
Suite D-3, PMB 378
Bainbridge Island, WA 98110
Phone (206) 842-6714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602855045 | Other | WA | UNIFIED BUSINESS ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
149 Finch Pl SW
Ste 1
Bainbridge Island, WA 98110
Phone (206) 842-6714
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Bainbridge Island, WA
- NPI 1912220625
-
- Massage Therapist
- Bainbridge Island, WA
- NPI 1629496773
-
- Massage Therapist
- Bainbridge Island, WA
- NPI 1528466026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1932334778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 HIGH SCHOOL ROAD NE",
"address_2": "SUITE D-3, PMB 378",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "98110",
"telephone_number": "206-842-6714",
"fax_number": "206-842-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15445 SUNRISE DRIVE NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "98110",
"telephone_number": "206-842-6714",
"fax_number": "206-842-1667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND WELLNESS RESOURCES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-22",
"last_updated": "2024-05-21",
"status": "A",
"authorized_official_last_name": "GRAMS",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CHIROPRACTOR/BUSINESS OWNER",
"authorized_official_telephone_number": "206-842-6714",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "WA",
"license": "CH60030711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIFIED BUSINESS ID",
"identifier": "602855045",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.