Innovative Wellness Inc a Nursing Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

INNOVATIVE WELLNESS INC A NURSING CORPORATION

Practice address

2255 Ygnacio Valley Rd Ste T
Walnut Creek, CA 94598-3343

Phone

(925) 954-8209

Fax

(925) 891-4292

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Rachael M Cabreira, FNP-C

Title

Owner

Phone

(925) 954-8209

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Irene Dunning, PA-C

  • Surgical Physician Assistant
  • Oakland, CA
  • NPI 1295709491
  NPD (past)
• Natalie R Marks, PA-C

  • Surgical Physician Assistant
  • Santa Rosa, CA
  • NPI 1023137163
  NPD (past)
• Joanne Rice, PA-C

  • Physician Assistant
  • Concord, CA
  • NPI 1295163608
  NPD (past)
• Ann Hazen Whisenant, PA-C

  • Surgical Physician Assistant
  • San Leandro, CA
  • NPI 1063486264
  NPD (past)
• Donald Richard Straub, PA-C

  • Physician Assistant
  • Mechanicsville, VA
  • NPI 1467598185
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1013418326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY RD STE T",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983343",
            "telephone_number": "925-954-8209",
            "fax_number": "925-891-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY RD STE T",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983343",
            "telephone_number": "925-954-8209",
            "fax_number": "925-891-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE WELLNESS INC A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "CABREIRA",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-954-8209",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Alabata Ingram, P.A.
• Corrie Ingram, LMFT
• Emily Ingram
• Jorge Inguez, MA
• Inner Light House LLC
• Amy Inouye, NP
• Mokmany Inphouva
• Insight Vision Care Optometry
• Institute of Mindful Therapy
• Nissa Intarachote Van Etten

• Nurse Practitioner in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.