Integrative Health Providers LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

INTEGRATIVE HEALTH PROVIDERS LLC

Doing business as

Vitality Lifestyle Medicine

Practice address

11001 Hauser St
Lenexa, KS 66210-3708

Phone

(913) 963-6618

Fax

(913) 353-4031

NPI assigned

Jun 6, 2017

Organization subpart

No

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

Authorized official

Name

Everett G. Bennett III, NPNPI 1033578752

Title

Owner

Phone

(913) 353-4703

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Vitality Lifestyle Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Everett G. Bennett III, NP

  • Nurse Practitioner
  • Lenexa, KS
  • NPI 1033578752
  Medicare reassignment Authorized official
• Therese Rose Finan, D.C.

  • Chiropractor
  • Lenexa, KS
  • NPI 1578862215
  NPD (past)
• Thomas Kopatich, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1841095114
  NPD (past)
• Jeffery Adam Ligon, D.C.

  • Chiropractor
  • Lenexa, KS
  • NPI 1588096051
  NPD (past)
• Ryan A Prosser, DC

  • Orthopedic Chiropractor
  • Overland Park, KS
  • NPI 1720693724
  NPD (past)
• Andrew Schriever, DC

  • Chiropractor
  • Lenexa, KS
  • NPI 1235883380
  NPD (past)
• Natalie Silva, D.C.

  • Chiropractor
  • Lenexa, KS
  • NPI 1225586787
  NPD (past)
• Brenton Troutman, DC

  • Rehabilitation Chiropractor
  • Lenexa, KS
  • NPI 1417663311
  NPD (past)
• Joshua G Vanzandt, DC

  • Chiropractor
  • Shawnee, KS
  • NPI 1699015594
  NPD (past)
• Kyle James Koerner, DC

  • Chiropractor
  • Independence, MO
  • NPI 1710511357

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1801325659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 HAUSER ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662103708",
            "telephone_number": "913-963-6618",
            "fax_number": "913-353-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 HAUSER ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662103708",
            "telephone_number": "913-963-6618",
            "fax_number": "913-353-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-353-4703",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-23015",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF NURSING- NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "53-77127-041",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Lifestyle Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vitality Lifestyle Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joshua Michael Isom, D.C

• Adult Health Nurse Practitioner in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Adult Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.