Integrated Wellness

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

FA01022864 Issued in NM

Legal business name

INTEGRATED WELLNESS

Practice address

10209 Nacimiento St NW
Albuquerque, NM 87114-4457

Phone

(505) 433-0335

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By 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

Joshua Kawika Peiper

Title

Chief Operating Officer

Phone

(505) 433-0335

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Russell Ray Rutledge III

  • Physical Therapy Assistant
  • Albuquerque, NM
  • NPI 1700205432
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1063788701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 NACIMIENTO ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144457",
            "telephone_number": "505-433-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 NACIMIENTO ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144457",
            "telephone_number": "505-433-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "PEIPER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "KAWIKA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "505-433-0335"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NM",
            "license": "FA01022864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Care Physicians PLLC (Harborwell Health)
• Integrated Concepts (PharmaCare Health Services)
• Integrated Concepts, Inc (PharmaCare)
• Integrated Family Wellness Center, LLC
• Integrated Healthcare of New Mexico
• Integrated Wellness
• Integrative Counseling & Psychotherapy Services, LLC
• Integrative Elements NM
• Integrative Medicine Clinic
• Integrition, LLC

• Multi-Specialty Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Multi-Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.