Restored Health PLLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N18921 Issued in ID

Legal business name

RESTORED HEALTH PLLC

Doing business as

Integrative Wellness Center, LLC

Practice address

579 W Hayden Ave
Hayden, ID 83835-9726

Phone

(208) 660-9335

NPI assigned

May 22, 2012

Last updated

May 22, 2012By 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

Lisa Irving, REGISTERED NURSE

Title

Owner

Phone

(208) 660-9335

Specialties & licenses 1

Addresses

Other names 1

• Integrative Wellness Center, LLC Doing business as

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1790045953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 W JAMES CROWE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358434",
            "telephone_number": "208-660-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 W HAYDEN AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359726",
            "telephone_number": "208-660-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-660-9335",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N18921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob C Reedy, NP
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• Beven Jean Rich, ATC, MT
• Deanna Marie Richmond, MA, LPC
• Rickheim, DDS, Ms, PLLC (Peach Orthodontics)
• Rickheim, DDS, Ms, PLLC (Timberline Oral Surgery & Dental Implants)
• Courtney Riddle, LCSW

• Registered Nurse in Hayden, ID
• Providers in Hayden, ID by specialty
• Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.