Active NPI
Crestwood Integrative Health & Wellness Center
- Internal Medicine Physician
- Crestwood, KY
National Provider Identifier
1649696089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.