Corpus Christi Integrative Clinic LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

CORPUS CHRISTI INTEGRATIVE CLINIC LLC

Practice address

400 Mann St Ste 107
Corpus Christi, TX 78401-2046

Phone

(812) 725-0950

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Jo Holland

Title

Owner

Phone

(812) 725-0950

Specialties & licenses 1

Addresses

Other names 1

• Corpus Christi Integrative Clinic Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Rickey Dale Kinzey, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Corpus Christi, TX
  • NPI 1801881016

  Single Specialty

  Medicare reassignment NPD
• Janna Marie Johnson, FNP-C

  • Family Nurse Practitioner
  • Charlestown, IN
  • NPI 1255004313

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1336857796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MANN ST STE 107",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MANN ST STE 107",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012046",
            "telephone_number": "812-725-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI INTEGRATIVE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-725-0950"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corpus Christi Integrative Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Corpus Christi Integrative Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Corpus Christi Home Care, Inc. (One At Home -Corpus Christi)
• Corpus Christi Hospitalists, PLLC
• Corpus Christi Imaging, LP (Open MRI of Corpus Christi)
• Corpus Christi Independent School District
• Corpus Christi Institute of Pain Management Inc (Rehab One Physical Therapy)
• Corpus Christi Laboratory Services
• Corpus Christi Medical Associates, P.a.
• Corpus Christi Medical Center
• Corpus Christi Medical Center
• Corpus Christi Mobility LLC. (Mobility Plus)

• Infusion Therapy Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.