Organization Active NPI

Wellness Navigators, PLLC

  • Health Service Clinic/Center
  • Olympia, WA
National Provider Identifier
1962876540
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
PA100003178 Issued in WA
Legal business name
WELLNESS NAVIGATORS, PLLC
Practice address
1804 Black Lake Blvd SW
Suite 101
Olympia, WA 98512-5633
Phone
(360) 339-5892
Fax
(206) 420-0321
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
John Basinger O'Brien, PA-CNPI 1639332844
Title
Owner Member
Phone
(360) 773-6805

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PA100003178 WA
Health Service Clinic/Center 261QH0100X PA100003178 WA Primary

Addresses

Primary practice location

1804 Black Lake Blvd SW
Suite 101
Olympia, WA 98512-5633

Mailing address

924 Central St NE
Olympia, WA 98506-4408

Other names 1

  • Health Navigators, PLLC Other name

National Provider Directory

National Provider Directory

Locations

1804 Black Lake Blvd SW
Ste 101
Olympia, WA 98512
Phone (360) 704-0704

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": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1962876540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 CENTRAL ST NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 BLACK LAKE BLVD SW",
            "address_2": "SUITE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125633",
            "telephone_number": "360-339-5892",
            "fax_number": "206-420-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS NAVIGATORS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BASINGER",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "360-773-6805",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "PA100003178",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "PA100003178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Navigators, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 19, 2015; 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.