Integrative Health, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

684 Issued in WY

Legal business name

INTEGRATIVE HEALTH, LLC

Practice address

856 Coffeen Ave Ste 102
Sheridan, WY 82801-5318

Phone

(307) 674-6655

Fax

(307) 674-6699

NPI assigned

Aug 26, 2008

Last updated

Mar 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Shea Ricchio, DCNPI 1861447716

Title

Owner

Phone

(307) 674-6655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jessica Shea Ricchio, D.C.

  • Chiropractor
  • Sheridan, WY
  • NPI 1861447716
  Authorized official Same address or phone

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1720235286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 COFFEEN AVE STE 102",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015318",
            "telephone_number": "307-674-6655",
            "fax_number": "307-674-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 COFFEEN AVE STE 102",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015318",
            "telephone_number": "307-674-6655",
            "fax_number": "307-674-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "RICCHIO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-674-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.