Organization Active NPI

The Spa at Orchard House Inc.

  • Other Specialist/Technologist
  • Olympia, WA
National Provider Identifier
1932857521
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
THE SPA AT ORCHARD HOUSE INC.
Practice address
3610 81St Ave SW
Olympia, WA 98512-7402
Phone
(360) 790-7272
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Kelli Anne Noonan
Title
Owner
Phone
(360) 790-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

3610 81St Ave SW
Olympia, WA 98512-7402

Mailing address

3610 81St Ave SW
Olympia, WA 98512-7402
Phone (360) 790-7272

Other practice location 1

2401 Bristol Ct SW Ste C104
Olympia, WA 98502-6037
Phone (360) 956-0574

National Provider Directory

National Provider Directory
Tax ID family
The Spa at Orchard House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1932857521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 81ST AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985127402",
            "telephone_number": "360-790-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 81ST AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985127402",
            "telephone_number": "360-790-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Bristol Ct SW Ste C104",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985026037",
            "country_code": "US",
            "telephone_number": "360-956-0574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SPA AT ORCHARD HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-790-7272"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.