Innovative Health and Wellness Center

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

13-00030589 Issued in AZ

Legal business name

INNOVATIVE HEALTH AND WELLNESS CENTER

Practice address

297 Lake Havasu Ave S
200
Lake Havasu City, AZ 86403-6526

Phone

(928) 854-7666

Fax

(928) 854-7660

NPI assigned

Nov 21, 2013

Last updated

Nov 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Summer Yvonne Tilgner, FNPNPI 1265745277

Title

Owner

Phone

(928) 854-7666

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, and the practitioner matching its NPPES authorized official.

• Summer Yvonne Tilgner, DNP

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1265745277
  Authorized official Same address or phone

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1265862676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 LAKE HAVASU AVE S",
            "address_2": "200",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036526",
            "telephone_number": "928-854-7666",
            "fax_number": "928-854-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 LAKE HAVASU AVE S",
            "address_2": "200",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036526",
            "telephone_number": "928-854-7666",
            "fax_number": "928-854-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "TILGNER",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-854-7666",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "13-00030589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Joy Huss, P.T.
• Gene C Hutsell, NP
• Bret Donald Huxtable, PHARMD
• Florentyna Nnenne Igboanugo, PHARMD
• Roxana Imanian, DMD
• Innovative Health Care of Havasu LLC
• Innovative Primary Care Clinic of Havasu PLLC
• Innovative Primary Care of Havasu LLC (Innovative Primary Care Clinic of Havasu)
• Innovative Primary Care of Lake Havasu LLC
• Innovative Womens Health Care of Havasu PLLC

• General Practice Registered Nurse in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• General Practice Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.