Envision Integrative Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ENVISION INTEGRATIVE SERVICES

Practice address

1461 Lakeland Ave Unit 9
Bohemia, NY 11716-2174

Phone

(631) 467-8224

Fax

(631) 585-7575

NPI assigned

Jan 24, 2024

Last updated

Mar 28, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BE WELL ADULT, NP, PPLCAs reported in NPPES

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

Authorized official

Name

Nicole Flemming, CPC,CRC,CPB,CBCS,CMA

Title

Billing and Credentialing Manager

Phone

(843) 640-9342

Specialties & licenses 3

Addresses

Part of

Be Well Adult NP PLLC

Locations

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1457113573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 LAKELAND AVE UNIT 9",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162174",
            "telephone_number": "631-467-8224",
            "fax_number": "631-585-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 LAKELAND AVE UNIT 9",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162174",
            "telephone_number": "631-467-8224",
            "fax_number": "631-585-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION INTEGRATIVE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BE WELL ADULT, NP, PPLC",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "FLEMMING",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "843-640-9342",
        "authorized_official_credential": "CPC,CRC,CPB,CBCS,CMA"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Ednie, RN
• Elev8Ted Perspectives Consultation Services
• Emergency Ambulance Service, Inc.
• Energy Ambulette
• Eric C Eng, PHARMD
• Envision Wellness Chiropractic PC
• Family and Perosnal Counseling
• Kristine Ann Faragasso, MS CCC-SLP
• Isabel Astrid Faringer-Perez, CNM
• Mary Feiler, PNP

• Nurse Practitioner in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.