INTEGRAL HEALTH & WELLNESS (NPI# 1386268142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386268142 |
| Entity Type | Organization |
| Organization Name | INTEGRAL HEALTH & WELLNESS |
| Practice Address |
1216 Granby St Norfolk VA 23510-2607 |
| Practice Telephone | 7572041901 |
| Mailing Telephone | 7572041901 |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |
| Authorized Official Name | DR. NAKESHIA LYNN MOUZON (OWNER) |
| Authorized Official Telephone | 7575811779 |
| Authorized Official Credential | FNP-C, PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1164788519 | 05 |
| Other Name | Type Code |
|---|---|
| Nu Body Weight Loss & Aesthetics | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INTEGRAL HEALTH & WELLNESS, LLC | 875 Third Avenue, 9th Floor, New York, Ny 10022 |
| Street Address |
1216 GRANBY ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23510-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003849142 | Willar Mae Baum | Social Worker | 1216 Granby St, Suite 7, Norfolk, VA 23510-2607 | 2006-07-09 |
| 1497110548 | Frederica Jones | Counselor | 1216 Granby St, Suite 213, Norfolk, VA 23510-2607 | 2015-12-16 |
| 1497133870 | Doreen Home Health Care LLC | Home Health | 1216 Granby St, Suite 7, Norfolk, VA 23510-2607 | 2015-05-18 |
| 1730422718 | Hosana Home Healthcare | Home Health | 1216 Granby St, Norfolk, VA 23510-2607 | 2013-03-28 |
| 1407042518 | Karis Joy Boyer Holder | Counselor | 1216 Granby St, Suite 213, Norfolk, VA 23510-2607 | 2007-09-21 |
| 1679689657 | June Wren | Counselor | 1216 Granby St, Suite 209, Norfolk, VA 23510-2607 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151108 | Brittany Delong | Speech-Language Pathologist | 534 E Olney Road, Norfolk, VA 23510 | 2019-08-30 |
| 1881164366 | Gregory D Newman | Hearing Instrument Specialist | 501 B Bousch St, Norfolk, VA 23510 | 2018-11-28 |
| 1598282998 | Tidewater Hyperbaric | Preventive Medicine | 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 | 2017-08-25 |
| 1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
| 1326499989 | East Coast Family Services | Community/Behavioral Health | 259 Granby St., Norfolk, VA 23510 | 2016-06-24 |
| 1659750529 | Cortney Armitano | Specialist/Technologist | 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 | 2015-05-26 |
| 1285076067 | Abundant Life Therapeutic Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 645 Church St., Suite 104c, Norfolk, VA 23510 | 2013-07-22 |
| 1497196901 | Patricia Ann Richardson | Assisted Living Facility | 101 East Plume Street, 501, Norfolk, VA 23510 | 2013-07-12 |
| 1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
| 1033414941 | Laura Jeanne O'neal | Social Worker | 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 | 2011-01-24 |
| Find all providers in zip 23510 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206589 | Advanced Clinicians Specialty Services LLC | Nurse Practitioner | 2414 Colonial Ave, Norfolk, VA 23517-1224 | 2020-08-24 |
| 1932734241 | Felicitas Lembi Kanla | Nurse Practitioner | 6400 Crescent Way Apt 106, Norfolk, VA 23513-1417 | 2020-03-06 |
| 1588296032 | Laura Kay Gibson | Nurse Practitioner | 5900 E Va Beach Blvd Ste 260, Norfolk, VA 23502-2492 | 2020-02-12 |
| 1508401548 | Chanda Richele Anderson | Nurse Practitioner | 3901 W Norfolk Ave, Norfolk, NE 68701-4467 | 2019-11-13 |
| 1215586730 | Tuesdaye Anne Curling | Nurse Practitioner | 5800 Lake Wright Dr Ste 101, Norfolk, VA 23502-1804 | 2019-09-06 |
| 1790332377 | Kate Terjanian Richard | Nurse Practitioner | 850 Kempsville Rd Ste 200, Norfolk, VA 23502-3920 | 2019-08-20 |
| 1326600271 | Jody Ann Herley | Nurse Practitioner | 111 Kings Way, Norfolk, NE 68701-3301 | 2019-07-01 |
| 1457822744 | Merideth Beck Pope | Nurse Practitioner | 9530 24th Bay St, Norfolk, VA 23518-1714 | 2018-12-11 |
| 1841770377 | Tammise Hastings Stine | Nurse Practitioner | 160 Kingsley Ln Ste 100a, Norfolk, VA 23505-4635 | 2018-08-15 |
| 1467966507 | Julie Sharlene Jones | Nurse Practitioner | 1349 E Tanners Creek Dr, Norfolk, VA 23513-1374 | 2017-11-28 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.