Integrated Health and Beauty Medical Center, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN260355

Legal business name

INTEGRATED HEALTH AND BEAUTY MEDICAL CENTER, LLC

Doing business as

Heller Fancy Medspa

Practice address

4230 Coral Park Dr
Brunswick, GA 31520-3016

Phone

(912) 223-1429

Fax

(912) 342-7058

NPI assigned

Jul 12, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Heller, DC

Title

Owner

Phone

(636) 357-4234

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heller Fancy Medspa Doing business as

Locations

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043732951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 CORAL PARK DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203016",
            "telephone_number": "912-223-1429",
            "fax_number": "912-342-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 CORAL PARK DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203016",
            "telephone_number": "912-223-1429",
            "fax_number": "912-342-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH AND BEAUTY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-357-4234",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": "RN260355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235663550",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heller Fancy Medspa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independent Physical Therapy of Ga, LLC (BenchMark PT)
• Infinity Health Care Agency LLC
• Innova Sleep Institute, LLC
• Innovative Therapy Matters LLC
• Integrated Community Oncology Network
• Rebecca Anne Irwin, PA-C
• Island Medical, P.C.
• J Melvin Deese Jr, MD PC (Summit Ambulatory Surgery Center)
• J.H. Harvey Co., LLC (Harveys Supermarket Pharmacy #2312)
• J.H. Harvey Co., LLC (Harveys Supermarket Pharmacy #2397)

• Family Nurse Practitioner in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.