Active NPI
Integrative Health and Hormone Clinic, Inc.
- Adult Health Nurse Practitioner
- Hiawatha, IA
National Provider Identifier
1376814335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- H-117587
- Legal business name
- INTEGRATIVE HEALTH AND HORMONE CLINIC, INC.
- Practice address
- 1731 Boyson Rd
Hiawatha, IA 52233-2313 - Phone
- (319) 363-0033
- Fax
- (319) 363-4411
- NPI assigned
- Jan 23, 2012
- 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
- Stephanie Gray, ARNP
- Title
- Owner
- Phone
- (319) 329-8132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | H-117587 | IA | Primary |
Addresses
Primary practice location
1731 Boyson Rd
Hiawatha, IA 52233-2313
Mailing address
1731 Boyson Rd
Hiawatha, IA 52233-2313
Phone (319) 363-0033
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 |
|---|---|---|---|
| 16D2036505 | Integrative Health and Hormone Clinic | Provider-performed microscopy | Feb 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
1260 3rd Ave SE
Ste B
Cedar Rapids, IA 52403
Phone (319) 363-0033
1731 Boyson Rd
Hiawatha, IA 52233
Phone (319) 363-0033
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 Nurse Practitioner
- Cedar Rapids, IA
- NPI 1851014716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519776000000",
"number": "1376814335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 BOYSON RD",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332313",
"telephone_number": "319-363-0033",
"fax_number": "319-363-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 BOYSON RD",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332313",
"telephone_number": "319-363-0033",
"fax_number": "319-363-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HEALTH AND HORMONE CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-23",
"last_updated": "2018-02-28",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-329-8132",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "IA",
"license": "H-117587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.