Jeffersonville Integrative Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEFFERSONVILLE INTEGRATIVE CLINIC LLC

Practice address

300 Spring St Ste 3C
Jeffersonville, IN 47130-3498

Phone

(812) 503-4304

Fax

(812) 954-0576

NPI assigned

Sep 24, 2024

Last updated

Mar 26, 2026By 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

Rickey Dale Kinzey, DONPI 1801881016

Title

Provider/Owner

Phone

(812) 503-4304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Rickey Dale Kinzey, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Corpus Christi, TX
  • NPI 1801881016

  IN, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1861219644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SPRING ST STE C",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303385",
            "telephone_number": "812-503-4304",
            "fax_number": "812-954-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SPRING ST STE 3C",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303498",
            "telephone_number": "812-503-4304",
            "fax_number": "812-954-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSONVILLE INTEGRATIVE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "KINZEY",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "812-503-4304",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Janes, APRN
• Darian Nicole Jarvis
• Jebs Anesthesia Consultants, LLC
• Jeffersonville Commons Dental (Spring Street Dental)
• Jeffersonville Family Dental, PC
• Jeffersonville Pediatric Dentistry LLC
• Jeffersonville Pediatrics LLC
• Jenkins Podiatry PC
• Jennifer B Catlett MD LLC
• Jeuti B. Wylde, MD PSC (Jeffersonville Psychiatric Associates)

• Family Medicine Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.