NPIMap

Organization Active NPI

Integrative Family Care, PLLC

  • Family Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1225692387
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRATIVE FAMILY CARE, PLLC
Practice address
52915 Mound Rd
Shelby Township, MI 48316-3266
Phone
(586) 210-3200
Fax
(586) 210-3300
NPI assigned
Apr 24, 2019
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Mrs. Christina A Munn, PANPI 1285673301
Title
PA., Owner, Authorized Official
Phone
(586) 709-5271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

52915 Mound Rd
Shelby Township, MI 48316-3266

Mailing address

11256 Orchard Hill Dr
Bruce TWP, MI 48065-4397
Phone (586) 709-5271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190614001553 MI Part B Supplier - Clinic/Group Practice 5890028336 Receives reassigned benefits from 8 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19637/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1225692387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11256 ORCHARD HILL DR",
            "city": "BRUCE TWP",
            "state": "MI",
            "postal_code": "480654397",
            "telephone_number": "586-709-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52915 MOUND RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163266",
            "telephone_number": "586-210-3200",
            "fax_number": "586-210-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "MUNN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PA., OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "586-709-5271",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.