Active NPI
Integrative Health & Wellness PLLC
- Integrative Medicine Physician
- Ephrata, PA
National Provider Identifier
1821777335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- INTEGRATIVE HEALTH & WELLNESS PLLC
- Practice address
- 1656 W Main Street
Suite 3
Ephrata, PA 17522 - Phone
- (717) 863-5387
- NPI assigned
- Jul 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Renee Lundy, CRNP
- Title
- Owner, Provider
- Phone
- (717) 998-0078
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
1656 W Main Street
Suite 3
Ephrata, PA 17522
Mailing address
1656 W Main St Ste 5
Ephrata, PA 17522-1103
Phone (717) 998-0078
National Provider Directory
National Provider DirectoryLocations
1656 W Main St
Ste 3
Ephrata, PA 17522
Phone (717) 863-5387
1656 W Main St
Ste 5
Ephrata, PA 17522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1821777335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 W MAIN ST STE 5",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221103",
"telephone_number": "717-998-0078",
"fax_number": "717-844-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 W MAIN STREET",
"address_2": "SUITE 3",
"city": "EPHRATA",
"state": "PA",
"postal_code": "17522",
"telephone_number": "717-863-5387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HEALTH & WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-12",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "LUNDY",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER, PROVIDER",
"authorized_official_telephone_number": "717-998-0078",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.