Active NPI
Whole Body Holistic, LLC
- Acupuncturist
- Renton, WA
National Provider Identifier
1952074692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- WHOLE BODY HOLISTIC, LLC
- Practice address
- 451 SW 10TH St Ste Suite100
Renton, WA 98057-2981 - Phone
- (206) 330-8490
- NPI assigned
- Jul 28, 2021
- 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. Dawn Flynn, ND, EAMP
- Title
- Owner
- Phone
- (206) 330-8490
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
451 SW 10TH St Ste Suite100
Renton, WA 98057-2981
Mailing address
451 SW 10TH St Ste 100
Renton, WA 98057-2981
Phone (206) 330-8490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407070113 | Other | WA | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627430400000",
"number": "1952074692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 SW 10TH ST STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980572981",
"telephone_number": "206-330-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 SW 10TH ST STE SUITE100",
"city": "RENTON",
"state": "WA",
"postal_code": "980572981",
"telephone_number": "206-330-8490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE BODY HOLISTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-330-8490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND, EAMP"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1407070113",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.