Active NPI
KC Integrative Wellness. LLC
- Family Medicine Physician
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KC INTEGRATIVE WELLNESS. LLC
- Practice address
- 327 Medcrest Dr Unit a
Crestview, FL 32536-6464 - Phone
- (850) 699-0736
- NPI assigned
- Feb 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kate R Lops, MD
- Title
- Physician
- Phone
- (850) 699-0736
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
327 Medcrest Dr Unit a
Crestview, FL 32536-6464
Mailing address
328 Kelly Plantation Dr
Destin, FL 32541-3475
Phone (850) 699-0736
Other names 1
- Integrative Wellness Clini
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1059559 | KC Integrative Wellness LLC | Certificate of waiver | Feb 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
327 Medcrest Dr
Unit A
Crestview, FL 32536
Phone (850) 423-0761
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Crestview, FL
- NPI 1518938653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1265299077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 KELLY PLANTATION DR",
"city": "DESTIN",
"state": "FL",
"postal_code": "325413475",
"telephone_number": "850-699-0736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 MEDCREST DR UNIT A",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325366464",
"telephone_number": "850-699-0736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC INTEGRATIVE WELLNESS. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-28",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "LOPS",
"authorized_official_first_name": "KATE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "850-699-0736",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrative Wellness Clini",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Integrative Wellness Clini",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.