Organization Active NPI

Integrity Direct Primary Care, LLC

Doing business as Integrity Health and Wellness

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1851015127
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTEGRITY DIRECT PRIMARY CARE, LLC
Doing business as
Integrity Health and Wellness
Practice address
3637 Canal St
New Orleans, LA 70119-6110
Phone
(504) 613-0315
Fax
(888) 494-4941
NPI assigned
Sep 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Jacob Robert RickollNPI 1225665417
Title
Owner
Phone
(504) 613-0315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

3637 Canal St
New Orleans, LA 70119-6110

Mailing address

3637 Canal St Ste 100
New Orleans, LA 70119-6110
Phone (504) 613-0315

Other names 1

  • Integrity Health and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230403001662 LA Part B Supplier - Clinic/Group Practice 4183099294 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

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
19D2274468Integrity Health & Wellness3637 Canal Street, Ste 100, New Orleans, LA 70119Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory

Locations

3637 Canal St
Ste 100
New Orleans, LA 70119
Phone (504) 613-0315

3637 Canal St
New Orleans, LA 70119
Phone (504) 613-0315

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1851015127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 CANAL ST STE 100",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196110",
            "telephone_number": "504-613-0315",
            "fax_number": "888-498-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196110",
            "telephone_number": "504-613-0315",
            "fax_number": "888-494-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY DIRECT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "RICKOLL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-613-0315"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.