Integrative Wellness Center, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

INTEGRATIVE WELLNESS CENTER, LLC

Doing business as

Natura Medica

Practice address

12 Roosevelt Ave
Mystic, CT 06355-2809

Phone

(860) 572-9566

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By 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. Laura A Munro, NDNPI 1558628040

Title

Owner

Phone

(860) 235-0314

Specialties & licenses 1

Addresses

Other names 1

• Natura Medica Doing business as

Practitioners 2

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.

• Laura A Munro, N.D.

  • Naturopath
  • Old Lyme, CT
  • NPI 1558628040
  NPD (past) Authorized official
• Sally Elizabeth Machin, ND

  • Naturopath
  • Avon, CT
  • NPI 1053718486
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1801353735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PHEASANT RUN DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063352022",
            "telephone_number": "860-235-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ROOSEVELT AVE",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552809",
            "telephone_number": "860-572-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "MUNRO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-235-0314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natura Medica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy A Hooper, PT
• Rachel Quinn Howard, PHARMD
• Savannah Howard
• Diana D Hutchinson, LCSW
• Independence Physical Therapy, LLC
• Brandi Lynn Iovino, D.O.
• Ivy Speech and Language LLC
• J. Andrew Hallberg, MD, LLC
• James P. Watts, DMD
• Christopher Paul James

• Naturopath in Mystic, CT
• Providers in Mystic, CT by specialty
• Naturopath in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.