NPIMap

Organization Active NPI

Total Integrated Wellness, Inc

  • Clinic/Center
  • Reno, NV
National Provider Identifier
1407192107
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
B01357 Issued in NV
Legal business name
TOTAL INTEGRATED WELLNESS, INC
Practice address
4600 Kietzke LN
M 249
Reno, NV 89502-5033
Phone
(775) 825-3625
NPI assigned
Dec 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Dr. Andrew William Jenison, D.CNPI 1689824344
Title
Presedent
Phone
(775) 825-3625

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X B01357 NV Primary

Addresses

Primary practice location

4600 Kietzke LN
M 249
Reno, NV 89502-5033

Mailing address

4600 Kietzke LN
M 249
Reno, NV 89502-5033
Phone (775) 825-3625

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1407192107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN",
            "address_2": "M 249",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025033",
            "telephone_number": "775-825-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN",
            "address_2": "M 249",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025033",
            "telephone_number": "775-825-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL INTEGRATED WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "JENISON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "775-825-3625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "B01357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.