Organization Active NPI

Integral Health & Wellness

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1386268142
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
INTEGRAL HEALTH & WELLNESS
Practice address
533 Newtown Rd Ste 115
Virginia Beach, VA 23462-5758
Phone
(757) 204-1901
NPI assigned
Jun 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Nakeshia Lynn Mouzon, FNP-C, PMHNP-BCNPI 1164788519
Title
Owner
Phone
(757) 204-1901

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

533 Newtown Rd Ste 115
Virginia Beach, VA 23462-5758

Mailing address

1216 Granby St
Norfolk, VA 23510-2607
Phone (757) 204-1901

Other identifiers 1

IdentifierTypeStateIssuer
1164788519MedicaidVA

Other names 1

  • Nu Body Weight Loss & Aesthetics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Norfolk

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200716000366 VA Part B Supplier - Clinic/Group Practice 8628492279 Receives reassigned benefits from 3 practitioners
Practice locations: Virginia Beach, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2194385Integral Health & Wellness533 Newtown Road Suite 115, Virginia Beach, VA 23462Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

1216 Granby St
Norfolk, VA 23510
Phone (252) 370-7487

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22175/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1386268142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 GRANBY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102607",
            "telephone_number": "757-204-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 NEWTOWN RD STE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625758",
            "telephone_number": "757-204-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-07",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MOUZON",
        "authorized_official_first_name": "NAKESHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-204-1901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164788519",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norfolk",
            "affiliation": "N",
            "address_1": "1216 Granby St",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235102607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nu Body Weight Loss & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nu Body Weight Loss & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.