Integrative Wellness Center of Jacksonville

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

INTEGRATIVE WELLNESS CENTER OF JACKSONVILLE

Practice address

1153 Beach Blvd
Jacksonville Beach, FL 32250-3445

Phone

(904) 800-5588

Fax

(904) 800-5588

NPI assigned

Dec 17, 2019

Last updated

May 26, 2022By 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

Melissa Levy, APNPI 1932664505

Title

Acupuncture Physician/ Owner

Phone

(904) 800-5588

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Melissa Levy, AP

  • Acupuncturist
  • Jacksonville Beach, FL
  • NPI 1932664505
  NPD Authorized official
• Alexandra Crafton, L.AC.

  • Acupuncturist
  • Jacksonville Beach, FL
  • NPI 1679482459
  NPD (past)
• Douglas Suffield, DAOM

  • Acupuncturist
  • Jacksonville, FL
  • NPI 1841936382
  NPD (past)

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1881232114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 BEACH BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503445",
            "telephone_number": "904-800-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 BEACH BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503445",
            "telephone_number": "904-800-5588",
            "fax_number": "904-800-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS CENTER OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "904-800-5588",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Fax",
            "address_1": "1153 Beach Blvd",
            "city": "Jacksonville Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322503445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Infinity Health Systems Inc (Donald W. Lowery, D.C.)
• Julie Ruth Ingber, LMHC
• Integrated Community Oncology Network LLC (Cancer Specialist of North Florida)
• Integrated Community Oncology Network LLC (Florida Radiation Oncology Group)
• Integrative Healthcare Solutions, Inc
• Donna Ray Iverson, ARNP - BC
• Shiro Iwae, PT
• Sherri K Jackson, APRN
• Wesley Alexander Jackson
• Jacksonville Acupuncture Wellness, PA

• Acupuncturist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.