Integrative Health Systems PS

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATIVE HEALTH SYSTEMS PS

Doing business as

Monroe Street Medical Clinic

Practice address

708 Kearney St.
Port Townsend, WA 98368

Phone

(360) 385-5658

NPI assigned

Oct 12, 2006

Last updated

May 29, 2013By 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

J Douwe Rienstra, MD

Title

Owner / Pres

Phone

(360) 385-5658

Specialties & licenses 1

Addresses

Other names 1

• Monroe Street Medical Clinic Doing business as

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.

• Joseph Douwe Rienstra, MD

  • General Practice Physician
  • Port Townsend, WA
  • NPI 1104264720
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1912096546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 KEARNEY ST.",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 KEARNEY ST.",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368",
            "telephone_number": "360-385-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH SYSTEMS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "RIENSTRA",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "DOUWE",
        "authorized_official_title_or_position": "OWNER / PRES",
        "authorized_official_telephone_number": "360-385-5658",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Street Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew D Hust
• Jeremy A Idjadi, MD
• Khristell Ilarraza-Armand, LMHCA, SUDP
• Janis Bryan Inman
• Integrated Therapies, LLC
• Ronald W. Irick II, D.O.
• Sarah Irick, ARNP
• Natalie Susan Irwin, MPT
• Ruby Connolly Isaac
• Craig Isenberg, MA, LMFTA

• General Practice Physician in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.