Integrative Pediatric Health Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INTEGRATIVE PEDIATRIC HEALTH CARE, LLC

Practice address

3540 S Poplar St Ste 202
Denver, CO 80237-1362

Phone

(720) 442-3615

Fax

(720) 870-3726

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Gaughan, MS, RN, CPNP

Title

Member, Practitioner

Phone

(719) 494-5123

Specialties & licenses 2

Addresses

Other identifiers 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

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1902275712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST STE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371362",
            "telephone_number": "720-442-3615",
            "fax_number": "720-870-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST STE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371362",
            "telephone_number": "720-442-3615",
            "fax_number": "720-870-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PEDIATRIC HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "GAUGHAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER, PRACTITIONER",
        "authorized_official_telephone_number": "719-494-5123",
        "authorized_official_credential": "MS, RN, CPNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10820051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrative Health and Rehabilitation PC
• Integrative Health Inc
• Integrative Health Partners LLC
• Integrative Life Services LLC
• Integrative Life Services LLC
• Integrative Psychotherapy and Nutrition Counseling
• Integrative Therapeutic Solutions
• Integrative Therapy Systems
• Integrity & Curiosity Mental Health
• Integrity & Curiosity Mental Health

• Primary Care Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.