Integrative Wellness Partners, Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

INTEGRATIVE WELLNESS PARTNERS, INC

Practice address

801 Tilghman Dr Ste C
Dunn, NC 28334-4958

Phone

(910) 659-1088

Fax

(888) 446-3125

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Carl Douglas HurdNPI 1346914256

Title

President

Phone

(706) 830-0277

Specialties & licenses 1

Addresses

Practitioners 1

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

• Carl Douglas Hurd, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampstead, NC
  • NPI 1346914256
  NPD Authorized official

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1104592799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E COLLEGE ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283982104",
            "telephone_number": "910-659-1088",
            "fax_number": "888-446-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TILGHMAN DR STE C",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344958",
            "telephone_number": "910-659-1088",
            "fax_number": "888-446-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-830-0277"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Thomas Houston, PHARM. D.
• Linda Fabiola Hughes, PA-C
• Ibrahim N. Oudeh MD PA
• Lily Igunbor, OTR
• Rodney Lamar Ingram, OTPT
• Interventional Pain Center, PLLC
• Melissa Wooten Isenhour
• Adeeba Issa, LPC-A, NCC
• Scott Carl Jaros, MD
• Antionette B Jennings, LCSW-A

• Non-Pharmacy Dispensing Site in Dunn, NC
• Providers in Dunn, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.