Organization Active NPI

Integrity Health for Wellness

  • Clinic/Center
  • Charlotte, NC
National Provider Identifier
1831713528
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INTEGRITY HEALTH FOR WELLNESS
Practice address
1914 J N Pease PL Ste 144
Charlotte, NC 28262-4504
Phone
(704) 412-2802
Fax
(336) 203-2092
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Dr. Elysa C. Graham, DNP, FNP-C
Title
Owner
Phone
(704) 412-2802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1914 J N Pease PL Ste 144
Charlotte, NC 28262-4504

Mailing address

9311 JW Clay Blvd
Charlotte, NC 28262-5411
Phone (704) 412-2802

National Provider Directory

National Provider Directory

Locations

8335 Ibm Dr
Ste 120
Charlotte, NC 28262
Phone (704) 412-2802

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1831713528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 JW CLAY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625411",
            "telephone_number": "704-412-2802",
            "fax_number": "336-203-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL STE 144",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-412-2802",
            "fax_number": "336-203-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HEALTH FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ELYSA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-412-2802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.