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
- 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
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 DirectoryLocations
8421 W Broadway Ave
Brooklyn Park, MN 55445
Phone (952) 212-0911
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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
- 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.