Pure Integrative Wellness and Hydration LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PURE INTEGRATIVE WELLNESS AND HYDRATION LLC

Doing business as

Pure Integrative Health and Wellness

Practice address

2703 University Blvd E Ste B
Tuscaloosa, AL 35404-3226

Phone

(205) 248-7064

Fax

(205) 523-7158

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Gabrielle Smith

Title

Business Manager

Phone

(601) 490-1723

Specialties & licenses 2

Addresses

Other names 1

• Pure Integrative Health and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shonda Lankford Haynes, OTD, MS, MBA, OTR/L

  • Occupational Therapist
  • Stockbridge, GA
  • NPI 1467578450
  NPD

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1528680915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 UNIVERSITY BLVD E STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354043226",
            "telephone_number": "205-248-7064",
            "fax_number": "888-501-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 UNIVERSITY BLVD E STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354043226",
            "telephone_number": "205-248-7064",
            "fax_number": "205-523-7158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "AL",
            "postal_code": "367441552",
            "country_code": "US",
            "telephone_number": "334-624-3950",
            "fax_number": "334-624-3960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Washington St. South",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "AL",
            "postal_code": "35470",
            "country_code": "US",
            "telephone_number": "205-652-2828",
            "fax_number": "205-652-2825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE INTEGRATIVE WELLNESS AND HYDRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "GABRIELLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "601-490-1723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Integrative Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Publix Alabama LLC
• Publix Alabama LLC
• Velda D. Pugh, M.D.
• Cindy Pulido, MD
• Alexis Nicole Pullins, LICSW
• Purple Oasis Telerehab & Wellness LLC
• John Allen Pybass, M.D.
• Sang K Pyun, MD
• Lacey C Quarles, CRNP
• Quest Diagnostics Clinical Laboratories Inc

• Pediatrics Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.