Integrative Allergy & Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRATIVE ALLERGY & WELLNESS

Practice address

2709 West Kingshighway, Ste 8
Paragould, AR 72450-7245

Phone

(870) 236-3388

Fax

(870) 236-2656

NPI assigned

Oct 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lisa M Hendrix, MDNPI 1497833610

Title

Chief Officer

Phone

(870) 236-3388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paragould Allergy & Wellness Clinic Former legal business name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 5

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

• Lisa Michelle Hendrix, M.D.

  • Family Medicine Physician
  • Booneville, AR
  • NPI 1497833610
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Walker, CNP

  • Family Nurse Practitioner
  • Strawberry, AR
  • NPI 1699187666
  Medicare reassignment Care Compare group NPD
• Leah Gathright, CPNP-PC, FNP-C

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1538729116
  Medicare reassignment NPD
• Madison G Chavers, APRN

  • Family Nurse Practitioner
  • Trumann, AR
  • NPI 1891592259
  NPD
• Sydney Markum

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1801679048
  NPD

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1952877029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 W KINGSHIGHWAY STE 8",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502644",
            "telephone_number": "870-236-3388",
            "fax_number": "870-236-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 WEST KINGSHIGHWAY, STE 8",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507245",
            "telephone_number": "870-236-3388",
            "fax_number": "870-236-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE ALLERGY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "870-236-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130231001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragould Allergy & Wellness Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hyde Pharmacy Inc (Immunization)
• Brandi Denee Hyde, MSN, APRN, FNP-BC
• Ifaa,LLC
• Lacie Imboden
• Taylor Inman
• Jessica Interiano, MHPP
• Jordan Irvin
• Emily Jackson
• Joey Matthew Jackson, LCSW
• Nicole Lynn Jackson

• Family Medicine Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.