Integrity Healthcare, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A03593 Issued in AR

Legal business name

INTEGRITY HEALTHCARE, LLC

Practice address

1210 S Cherry St Ste 4
Pine Bluff, AR 71601-5667

Phone

(870) 329-4730

NPI assigned

Feb 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Channoah McKindra Williams, DNP, APN, FNP-BC

Title

Owner/Nurse Practitioner/Provider

Phone

(870) 329-4730

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Temika Rogers, LCSW

  • Clinical Social Worker
  • Pine Bluff, AR
  • NPI 1245455294
  NPD (past)

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486166400000",
    "number": "1942748488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2917",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716132917",
            "telephone_number": "870-329-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S CHERRY ST STE 4",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015667",
            "telephone_number": "870-329-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHANNOAH",
        "authorized_official_middle_name": "MCKINDRA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER/PROVIDER",
        "authorized_official_telephone_number": "870-329-4730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AR",
            "license": "A03593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188901758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Hutter, MD
• Ideas Emerge Counseling and Consulting, PLLC
• Identity Behavior Health Services, LLC
• Iiii Optical - the Bluff LLC
• In2It LLC
• Staci D Irby
• It'S All Good Counseling & Clinical Services, LLC
• Roslyn R Iverson
• J. W Nuckolls MD
• Jacks Dermatology P.a.

• Health Service Clinic/Center in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Health Service Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2017; 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.