Intentional Wellness Medspa LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

INTENTIONAL WELLNESS MEDSPA LLC

Practice address

99 Cambridge St
Burlington, MA 01803-4115

Phone

(781) 552-8438

NPI assigned

Nov 26, 2021

Organization subpart

No

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

Authorized official

Name

La-Keisha Renee Milord

Title

Ceo

Phone

(781) 552-8438

Specialties & licenses 1

Addresses

Other names 1

• Intentional Homecare LLC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGJIDD

Practitioners 1

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

• La-Keisha Renee Pinnock, N.P.

  • Family Nurse Practitioner
  • Fitchburg, MA
  • NPI 1649366212
  Medicare reassignment NPD

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739059200000",
    "number": "1154088052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ANGELA CIR",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033102",
            "telephone_number": "781-552-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CAMBRIDGE ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034115",
            "telephone_number": "781-552-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL WELLNESS MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A",
        "authorized_official_last_name": "MILORD",
        "authorized_official_first_name": "LA-KEISHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-552-8438"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Burlington",
            "affiliation": "N",
            "endpointDescription": "web",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Angela Cir",
            "city": "Burlington",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018033102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Intentional Homecare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hiroki Imamura, MD
• Immaculate Home Health Inc
• Jenelle Indelicato, RD
• Inspired Physical Rehab, LLC
• Ryan Instrum, MD
• Richard Iorio, M.D.
• Shams Iftikhar Iqbal, MD
• Holly Jean Irvin, ARNP
• Mark S Itzkowitz, M.D.
• Kaela Kaliko Akemi Iwai

• Family Nurse Practitioner in Burlington, MA
• Providers in Burlington, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.