Integrative Wellness Centers, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4812 Issued in NY

Legal business name

INTEGRATIVE WELLNESS CENTERS, LLC

Practice address

906 Pond View Rd
Riverhead, NY 11901-2656

Phone

(631) 722-2246

Fax

(631) 727-8112

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chris G Nelson, DC

Title

Secretary

Phone

(631) 722-2246

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730206954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 POND VIEW RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012656",
            "telephone_number": "631-722-2246",
            "fax_number": "631-727-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 POND VIEW RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012656",
            "telephone_number": "631-722-2246",
            "fax_number": "631-727-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "631-722-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0109951",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "4812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Huttner, PT
• Shari Hymes
• Fizzah Idrees
• Ilya Yagudayev DDS, PC
• Integrated Wellness Massage Therapy and Acupuncture PLLC
• Michelle N. Iona, DACM, L.AC.
• Isabel Meltzer, CSW, PC
• Island Foot and Ankle
• Island Physical Therapy of Riverhead
• Island Urgent Medical Care, P.C.

• Registered Dietitian in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.