Active NPI
Integrated Healthcare Associates LLC
- Family Nurse Practitioner
- Athens, OH
National Provider Identifier
1407399090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.019584
- Legal business name
- INTEGRATED HEALTHCARE ASSOCIATES LLC
- Practice address
- 5 Charles St
Athens, OH 45701-2329 - Phone
- (800) 321-8293
- NPI assigned
- Nov 30, 2016
- Organization subpart
- Yes
- Parent organization
- INTEGRATED SERVICES FOR BEHAVIORAL HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaclyn M Wilson
- Title
- Project Manager - Billing
- Phone
- (740) 258-6480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.019584 | OH | Primary |
Addresses
Primary practice location
5 Charles St
Athens, OH 45701-2329
Mailing address
PO Box 132
Athens, OH 45701-0132
Phone (800) 321-8293
National Provider Directory
National Provider Directory- Part of
- Integrated Services for Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480464000000",
"number": "1407399090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 132",
"city": "ATHENS",
"state": "OH",
"postal_code": "457010132",
"telephone_number": "800-321-8293",
"fax_number": "844-623-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CHARLES ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012329",
"telephone_number": "800-321-8293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HEALTHCARE ASSOCIATES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTEGRATED SERVICES FOR BEHAVIORAL HEALTH",
"enumeration_date": "2016-11-30",
"last_updated": "2016-11-30",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JACLYN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROJECT MANAGER - BILLING",
"authorized_official_telephone_number": "740-258-6480"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.019584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.