Complete Integrative Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMPLETE INTEGRATIVE CARE, LLC

Practice address

3156 State St
Medford, OR 97504-8450

Phone

(541) 773-5772

Fax

(541) 773-1113

NPI assigned

Sep 19, 2016

Last updated

Mar 24, 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

Melissa Carrigan

Title

Lead Billing Specialist

Phone

(541) 773-9770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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.

• Jeffrey James Cole, FNP

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1982472601
  Medicare reassignment Care Compare group NPD
• Michelle Antoinette Kitchen, FNP

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1114771698
  Medicare reassignment Care Compare group NPD
• Susan K Preslar, FNP

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1558462507
  Medicare reassignment Care Compare group NPD
• Shayna Marie Richards, FNP

  • Nurse Practitioner
  • Talent, OR
  • NPI 1740933597
  Medicare reassignment Care Compare group NPD
• Brennan Ullom, APRN, FNP-C

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1851104400
  Medicare reassignment Care Compare group NPD
• Audrey Heath, FNP-C

  • Family Nurse Practitioner
  • Ellisville, MO
  • NPI 1104338268

  OR

  Medicare reassignment Care Compare group NPD
• Denise Mao

  • Family Nurse Practitioner
  • Loma Linda, CA
  • NPI 1922588011

  OR

  Medicare reassignment Care Compare group NPD
• Matthew John Hogge, NP-PP, RN

  • Nurse Practitioner
  • Medford, OR
  • NPI 1912203183
  Medicare reassignment NPD
• Jennifer L Eastman, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1962854034

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1073061099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048450",
            "telephone_number": "541-773-5772",
            "fax_number": "541-773-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048450",
            "telephone_number": "541-773-5772",
            "fax_number": "541-773-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE INTEGRATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "CARRIGAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LEAD BILLING SPECIALIST",
        "authorized_official_telephone_number": "541-773-9770"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Medford, OR
• Providers in Medford, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.