Integrate Health and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4729 Issued in NC

Legal business name

INTEGRATE HEALTH AND WELLNESS

Practice address

133 Keybridge Dr Ste B
Morrisville, NC 27560-5915

Phone

(919) 378-9927

Fax

(919) 650-1861

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Anthony Witherspoon, DCNPI 1841504644

Title

Owner/Chiroprator

Phone

(919) 378-9927

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Anthony Dwayne Witherspoon, D.C.

  • Chiropractor
  • Byram, MS
  • NPI 1841504644

  NC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1194202630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 KEYBRIDGE DR STE B",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605915",
            "telephone_number": "919-378-9927",
            "fax_number": "919-650-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 KEYBRIDGE DR STE B",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605915",
            "telephone_number": "919-378-9927",
            "fax_number": "919-650-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "WITHERSPOON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/CHIROPRATOR",
        "authorized_official_telephone_number": "919-378-9927",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deshala Chanchez Hunt, B.S., MSW, LCSW
• Kari Jane Husmann, FNP
• Nicole Imperiale, LCSW-A
• Innovation Health Center
• Innovative Emergency Management, Inc. (Iem)
• Integrative Chiropractic PC
• Invitae Corporation
• Fatima Iqbal, M.D
• Emily Ann Ivancic, OTR/L
• Latoya Jackson, CBC

• Chiropractor in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.