NPIMap

Organization Active NPI

Ivy Integrative LLC

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
National Provider Identifier
1487589198
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
IVY INTEGRATIVE LLC
Practice address
1520 South Blvd Ste 228
Charlotte, NC 28203-3718
Phone
(704) 569-5489
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Dr. Chelsea Birch, NDNPI 1710569397
Title
Owner
Phone
(704) 975-7635

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1520 South Blvd Ste 228
Charlotte, NC 28203-3718

Mailing address

15033 Ballancroft Pkwy Ste 206
Charlotte, NC 28277-4959
Phone (704) 569-5489

National Provider Directory

National Provider Directory

Locations

1520 South Blvd
Ste 228
Charlotte, NC 28203
Phone (704) 569-5489

Practitioners & affiliated clinicians

Practitioners 8

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": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1487589198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15033 BALLANCROFT PKWY STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774959",
            "telephone_number": "704-569-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SOUTH BLVD STE 228",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282033718",
            "telephone_number": "704-569-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY INTEGRATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-975-7635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.