Quantum Innovative Health, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

QUANTUM INNOVATIVE HEALTH, PLLC

Practice address

836 Farmington Ave Ste 221B
West Hartford, CT 06119-1505

Phone

(860) 969-3433

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Miriram Schwartz, APRN

Title

Owner

Phone

(860) 995-0432

Specialties & licenses 1

Addresses

Other names 1

• Revolution Integrative Health Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Miriam Schwartz, APRN

  • Family Nurse Practitioner
  • South Windsor, CT
  • NPI 1750369625
  Medicare reassignment NPD

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1356905566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 STONEHAM DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172250",
            "telephone_number": "860-995-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE STE 221B",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-969-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM INNOVATIVE HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MIRIRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-995-0432",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@revolutionintegrativehealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "836 Farmington Ave Ste 221B",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061191505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Revolution Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kevin Purviance, DMD
• Ishrat Quadri, MD
• Quan Yin Healing Arts Acupuncture & Chinese Herbal Medicine, LLC
• Kristen Quann
• Samantha Quigneaux
• Lucille Quinn, LMFT
• Stephanie Ann Quinn, M.S., A.T.C
• Quinones Medical Group LLC
• Gladys Quinones, APRN

• Primary Care Clinic/Center in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.