Active NPI
Integrated Wellness Behavioral Health PA
- Psychiatric/Mental Health Nurse Practitioner
- Fort Walton Beach, FL
National Provider Identifier
1861316150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- INTEGRATED WELLNESS BEHAVIORAL HEALTH PA
- Practice address
- 1992 Lewis Turner Blvd Ste 1171
Fort Walton Beach, FL 32547-1255 - Phone
- (850) 343-5602
- NPI assigned
- Aug 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Ret, PMHNP
- Title
- Owner
- Phone
- (850) 343-5602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1992 Lewis Turner Blvd Ste 1171
Fort Walton Beach, FL 32547-1255
Mailing address
1992 Lewis Turner Blvd Ste 1171
Fort Walton Beach, FL 32547-1255
Other names 1
- Integrated Health PA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786060800000",
"number": "1861316150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1992 LEWIS TURNER BLVD STE 1171",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1992 LEWIS TURNER BLVD STE 1171",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471255",
"telephone_number": "850-343-5602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED WELLNESS BEHAVIORAL HEALTH PA",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-07",
"last_updated": "2026-08-07",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "RET",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-343-5602",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrated Health PA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Walton Beach, FL
- In Your Dreams International Inc
- Infinite Grace Academy
- Institute of Diagnostic Imaging,LLC
- Integrated Regional Laboratories Pathology Services, LLC
- Integrated Regional Laboratories Pathology Services, LLC
- Interim Healthcare of NW FL Inc
- Its All About You Massage and Day Spa
- IV Stat Inc
- IV Stat Inc
- Anirudh Iyer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.