Advanced Integrative Medicine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANCED INTEGRATIVE MEDICINE LLC

Doing business as

Advanced Integrative Medicine LLC

Practice address

9305 Kings Hwy
King George, VA 22485-3423

Phone

(540) 775-2250

Fax

(540) 775-2448

NPI assigned

Jun 13, 2018

Last updated

Jun 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawn Desmond PallottiNPI 1336263250

Title

Administrator

Phone

(540) 775-2250

Specialties & licenses 1

Addresses

Other names 1

• Advanced Integrative Medicine LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Locations

Practitioners 9

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.

• Amber Lavery, FNP-C

  • Family Nurse Practitioner
  • Heathsville, VA
  • NPI 1942046966
  Medicare reassignment Care Compare group NPD
• Juan C Munoz-Gonzalez, MD

  • Internal Medicine Physician
  • Fredericksburg, VA
  • NPI 1588892236
  Medicare reassignment Care Compare group
• Michael Williams Jr., PA

  • Physician Assistant
  • Frederickburg, VA
  • NPI 1790342426
  Medicare reassignment Care Compare group
• Ashley Nicole Tyler, FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1063035632
  Medicare reassignment NPD
• Shawn Desmond Pallotti, D.C.

  • Chiropractor
  • King George, VA
  • NPI 1336263250
  Authorized official Same address or phone
• Kayla Garrison Sarji, PT,DPT

  • Physical Therapist
  • Cookeville, TN
  • NPI 1225325756
  NPD
• Faye Krause, RDN

  • Registered Dietitian
  • King George, VA
  • NPI 1366872855
  NPD (past)
• Alice Ann Sisson, COTA

  • Occupational Therapy Assistant
  • Colonial Beach, VA
  • NPI 1568808277
  NPD (past)
• Jeana Ryckman Wood, DPT

  • Physical Therapist
  • Fort Belvoir, VA
  • NPI 1679885016
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1851884977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853423",
            "telephone_number": "540-775-2250",
            "fax_number": "540-775-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853423",
            "telephone_number": "540-775-2250",
            "fax_number": "540-775-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "PALLOTTI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DESMOND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-775-2250"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Integrative Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Viann Adams, OTL
• Susan Mary Aguilera, ARNP
• Katheine Elisabeth Allwine, ATC, LAT
• Rachel Brittany Ambrose, ACNPC-AG
• Amerihealth Care, LLC (Fox Towne Adult Care Center)
• Celestina Amlalo

• General Practice Physician in King George, VA
• Providers in King George, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.