Organization Active NPI

Integrative Healthcare Solutions, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1457112849
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INTEGRATIVE HEALTHCARE SOLUTIONS, LLC
Practice address
5704 Sweetwater Dr
Shreveport, LA 71119-4018
Phone
(318) 506-1994
Fax
(318) 409-2362
NPI assigned
Jan 22, 2024
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Dr. Rosaline M. Darty, DNP,APRN,CPNP, PMHNPNPI 1164430526
Title
Ceo/ Provider
Phone
(318) 455-3972

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

5704 Sweetwater Dr
Shreveport, LA 71119-4018

Mailing address

2829 Youree Drive, Ste.1 PMB 1035
Shreveport, LA 71104
Phone (318) 506-1994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416003676 LA Part B Supplier - Clinic/Group Practice 8325487887 Receives reassigned benefits from 2 practitioners
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

3218 Line Ave
Ste 100
Shreveport, LA 71104
Phone (318) 518-8187

7607 Fern Ave
Ste 501
Shreveport, LA 71105
Phone (318) 518-8187

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1457112849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 YOUREE DRIVE, STE.1 PMB 1035",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71104",
            "telephone_number": "318-506-1994",
            "fax_number": "318-409-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 SWEETWATER DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711194018",
            "telephone_number": "318-506-1994",
            "fax_number": "318-409-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTHCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "DARTY",
        "authorized_official_first_name": "ROSALINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/ PROVIDER",
        "authorized_official_telephone_number": "318-455-3972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,APRN,CPNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.