Integrity Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRITY WELLNESS CENTER

Practice address

2116 N Cedar St
Lumberton, NC 28358-3928

Phone

(910) 674-3030

Fax

(910) 674-3051

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Tracey Moreno- SilvaNPI 1780131649

Title

President

Phone

(276) 252-8811

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Moreno-Silva, FNP

  • Primary Care Nurse Practitioner
  • Lumberton, NC
  • NPI 1780131649

  NC

  Medicare reassignment NPD Authorized official
• Shawn M O'Keefe, PA-C

  • Physician Assistant
  • Pineville, NC
  • NPI 1063469864

  NC

  Medicare reassignment

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1083236137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 N CEDAR ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583928",
            "telephone_number": "910-674-3030",
            "fax_number": "910-674-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 N CEDAR ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583928",
            "telephone_number": "910-674-3030",
            "fax_number": "910-674-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "MORENO- SILVA",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-252-8811",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrity Homecare Solutions
• Interim Healthcare of the Eastern Carolinas, Inc
• Interventional Pain Center, PLLC
• Minnu Ittiachen Kinattingal
• Aja Locklear Ivey, BSW, CHW
• Candace Evans Ivey, FNP

• All providers in Lumberton, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.