Organization Active NPI

Crestwood Integrative Health & Wellness Center

  • Internal Medicine Physician
  • Crestwood, KY
National Provider Identifier
1649696089
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CRESTWOOD INTEGRATIVE HEALTH & WELLNESS CENTER
Practice address
6003 Pleasant Colony CT
Suite 1
Crestwood, KY 40014-8678
Phone
(502) 243-3334
Fax
(502) 243-9786
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Rodney Brown, DC
Title
Owner
Phone
(502) 243-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6003 Pleasant Colony CT
Suite 1
Crestwood, KY 40014-8678

Mailing address

6003 Pleasant Colony CT
Suite 1
Crestwood, KY 40014-8678
Phone (502) 243-3334

National Provider Directory

National Provider Directory

Locations

6003 Pleasant Colony Ct
Ste 1
Crestwood, KY 40014
Phone (502) 243-3334

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1649696089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 PLEASANT COLONY CT",
            "address_2": "SUITE 1",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148678",
            "telephone_number": "502-243-3334",
            "fax_number": "502-243-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 PLEASANT COLONY CT",
            "address_2": "SUITE 1",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148678",
            "telephone_number": "502-243-3334",
            "fax_number": "502-243-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD INTEGRATIVE HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-243-3334",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.