Valley Integrative Psychiatric Health & Wellness, Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VALLEY INTEGRATIVE PSYCHIATRIC HEALTH & WELLNESS, NURSING CORPORATION

Doing business as

VIP Health & Wellness

Practice address

1822 W Kettleman LN Ste 1
Lodi, CA 95242-4218

Phone

(209) 689-0103

Fax

(209) 689-0131

NPI assigned

Oct 12, 2021

Last updated

Oct 12, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

VIP HEALTH & WELLNESSAs reported in NPPES

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

Authorized official

Name

Dr. Anise Wheeler, NURSE PRACTITIONERNPI 1720191885

Title

Ceo/ Pmhnp

Phone

(209) 662-0754

Specialties & licenses 1

Addresses

Other names 1

• VIP Health & Wellness Doing business as

Part of

Valley Integrative Psychiatric Health Wellness Nursing Corporation

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25645/brand/3/csg/41/fhir/r4

Practitioners 1

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.

• Anise Tatiana Wheeler, NP

  • Nurse Practitioner
  • Stanford, CA
  • NPI 1720191885
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1467114009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 RIVERBANK CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192538",
            "telephone_number": "209-662-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 W KETTLEMAN LN STE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424218",
            "telephone_number": "209-689-0103",
            "fax_number": "209-689-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTEGRATIVE PSYCHIATRIC HEALTH & WELLNESS, NURSING CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIP HEALTH & WELLNESS",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ANISE",
        "authorized_official_title_or_position": "CEO/ PMHNP",
        "authorized_official_telephone_number": "209-662-0754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Elizabeth Vaccarezza, NP
• Terri Vaccarezza, NP
• Alyce E Valenzuela, CATC
• Samanta Valle
• Valley Community Counseling Services, Inc
• Sarah Elizabeth Vandenburg
• Phoua Vang
• Gerardo Varela
• Mary Y Vargas
• Ancy Varghese

• Psychiatric/Mental Health Nurse Practitioner in Lodi, CA
• Providers in Lodi, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.