Organization Active NPI

Integrative Health & Wellness PLLC

  • Integrative Medicine Physician
  • Ephrata, PA
National Provider Identifier
1821777335
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
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

Updated by the provider on Apr 30, 2025

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)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 202D00000X Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.