NPIMap

Organization Active NPI

Sozen Integrative Health and Wellness LLC

  • Internal Medicine Physician
  • Malvern, PA
National Provider Identifier
1801559968
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOZEN INTEGRATIVE HEALTH AND WELLNESS LLC
Practice address
2050 Diamond Rock Hill Rd
Malvern, PA 19355-9529
Phone
(484) 819-0411
NPI assigned
Oct 15, 2021
Last updated
Nov 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Kimberley Feltner, DO
Title
Owner
Phone
(484) 819-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2050 Diamond Rock Hill Rd
Malvern, PA 19355-9529

Mailing address

2050 Diamond Rock Hill Rd
Malvern, PA 19355-9529
Phone (484) 819-0411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105000638 PA Part B Supplier - Clinic/Group Practice 7517358351 Receives reassigned benefits from 16 practitioners
Practice locations: Malvern, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2273422Sozen Integrative Health and Wellness, LLC2050 Diamond Rock Hill Road, Malvern, PA 19355Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25070/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1801559968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 DIAMOND ROCK HILL RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559529",
            "telephone_number": "484-819-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 DIAMOND ROCK HILL RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559529",
            "telephone_number": "484-819-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZEN INTEGRATIVE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "FELTNER",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-819-0411",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.