Organization Active NPI

Integrated Wellness Behavioral Health PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1861316150
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Aug 7, 2026

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.