NPIMap

Organization Active NPI

Integrative Behavioral Health & Healing Practice PLLC

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1689323511
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
INTEGRATIVE BEHAVIORAL HEALTH & HEALING PRACTICE PLLC
Practice address
124 E Fisher Ave
Greensboro, NC 27401-2034
Phone
(984) 288-0880
Fax
(984) 217-1701
NPI assigned
Mar 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Mrs. Karen Day Nicholson, MSN, NPNPI 1336593953
Title
Provider/Owner
Phone
(984) 288-0880

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

124 E Fisher Ave
Greensboro, NC 27401-2034

Mailing address

124 E Fisher Ave
Greensboro, NC 27401-2034
Phone (984) 288-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220808000752 NC Part B Supplier - Clinic/Group Practice 6709268741 Receives reassigned benefits from 6 practitioners
Practice locations: Raleigh, NC; Chapel Hill, NC; Greensboro, NC

National Provider Directory

National Provider Directory

Locations

1829 E Franklin St
Ste 1200D
Chapel Hill, NC 27514
Phone (704) 467-3720

Practitioners & affiliated clinicians

Practitioners 9

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": "1647648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1689323511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E FISHER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012034",
            "telephone_number": "984-288-0880",
            "fax_number": "984-217-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E FISHER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012034",
            "telephone_number": "984-288-0880",
            "fax_number": "984-217-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BEHAVIORAL HEALTH & HEALING PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DAY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "984-288-0880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, NP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.

Verify at the official NPI Registry.