Active NPI
Integrative Health Providers LLC
- Family Nurse Practitioner
- Pickerington, OH
National Provider Identifier
1568948560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.11381
- Legal business name
- INTEGRATIVE HEALTH PROVIDERS LLC
- Practice address
- 8535 Refugee Rd
Pickerington, OH 43147-9625 - Phone
- (740) 205-2007
- NPI assigned
- Jul 13, 2018
- Last updated
- Apr 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Baljak
- Title
- NP/Owner
- Phone
- (740) 205-2007
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.11381 | OH | Primary |
Addresses
Primary practice location
8535 Refugee Rd
Pickerington, OH 43147-9625
Mailing address
PO Box 725
Pataskala, OH 43062-0725
Phone (740) 205-2007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329311 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Kareo |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8535 Refugee Rd
Pickerington, OH 43147
Phone (740) 205-2007
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.
-
- Family Nurse Practitioner
- Pickerington, OH
- NPI 1215257175
-
- Primary Care Nurse Practitioner
- Pickerington, OH
- NPI 1194469130
-
- Family Nurse Practitioner
- Columbus, OH
- NPI 1902870405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650844800000",
"number": "1568948560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430620725",
"telephone_number": "740-205-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8535 REFUGEE RD",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431479625",
"telephone_number": "740-205-2007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HEALTH PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-13",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A",
"authorized_official_last_name": "BALJAK",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "740-205-2007"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.11381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "329311",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Kareo",
"affiliation": "N",
"address_1": "8535 Refugee Rd",
"city": "Pickerington",
"state": "OH",
"country_code": "US",
"postal_code": "431479625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pickerington, OH
- Hyperbaric Therapy of Pickerington
- Ikb Care Services (Synergy HomeCare of East Columbus)
- Phillip Arthur Immesoete II, MD
- Brittany Inlow
- Inner Health Chiropractic Pickerington, LLC
- Integrity Physical Therapy Inc
- Integrity Psychological Counseling LLC
- Isaiah Jordan Irby
- Quinsena Irvin, RN
- Alexa Irwin, ED.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.