Active NPI
Integrative Health & Wellness Clinic
- Primary Care Clinic/Center
- Brooklyn Park, MN
National Provider Identifier
1023909595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- INTEGRATIVE HEALTH & WELLNESS CLINIC
- Practice address
- 8421 W Broadway Ave
Brooklyn Park, MN 55445-2266 - Phone
- (763) 213-9359
- NPI assigned
- Jul 14, 2025
- Last updated
- Jul 14, 2025
- 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
- Stella Nyakundi
- Title
- Aprn
- Phone
- (763) 213-9359
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
8421 W Broadway Ave
Brooklyn Park, MN 55445-2266
Mailing address
8421 W Broadway Ave
Brooklyn Park, MN 55445-2266
Phone (763) 213-9359
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1871227009
-
- Clinical Social Worker
- Roseville, MN
- NPI 1730735119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1023909595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8421 W BROADWAY AVE",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452266",
"telephone_number": "763-213-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8421 W BROADWAY AVE",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452266",
"telephone_number": "763-213-9359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HEALTH & WELLNESS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-13",
"status": "A",
"authorized_official_last_name": "NYAKUNDI",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "763-213-9359"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Park, MN
- Tyanna Layne Ingram
- Injury Physicians, PLLC
- Inner Light Chiropractic, P.a.
- Institute for Minority Dev
- Integra Pca Services, Inc.
- International Home Health Care Inc
- International Interpreting, Translation & PR Services, LLC
- Invictus Home Care Service Corporation
- J & J Chiropractic, PA (ProHealth Chiropractic Center)
- Fatima Mursal Jaamac
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.