PURE INTEGRATIVE WELLNESS AND HYDRATION LLC (NPI# 1528680915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528680915 |
| Entity Type | Organization |
| Organization Name | PURE INTEGRATIVE WELLNESS AND HYDRATION LLC |
| Practice Address |
2703 University Blvd E Ste B Tuscaloosa AL 35404-3226 |
| Practice Telephone | 2052487064 |
| Practice Fax Number | 2055237158 |
| Mailing Telephone | 2052487064 |
| Mailing Fax Number | 8885017784 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | MRS. LISA GABRIELLE SMITH (BUSINESS MANAGER) |
| Authorized Official Telephone | 6014901723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pure Integrative Health and Wellness | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1502 Main St Ste B, Greensboro, AL 367441552 | 3346243950 | 3346243960 |
| 306 Washington St. South, Ste B, Livingston, AL 35470 | 2056522828 | 2056522825 |
| Street Address |
2703 UNIVERSITY BLVD E STE B |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205282761 | Amber Michelle Beg | Pediatrics | 1229 Newport Dr, Tuscaloosa, AL 35406-2604 | 2016-05-13 |
| 1255770533 | Kaicee Ponds Richardson | Pediatrics | 1060 Fairfax Park Ste C, Tuscaloosa, AL 35406-2837 | 2013-06-19 |
| 1639225832 | Philip Morgan Phillips Jr. | Pediatrics | 1800 Rice Mine Rd N, Tuscaloosa, AL 35406-2383 | 2007-01-28 |
| 1437262698 | Mary Allison Cunningham | Pediatrics | 4880 Harkey Ln, Tuscaloosa, AL 35406-2863 | 2006-08-15 |
| 1710957394 | Ashley Evans | Pediatrics | 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401-5235 | 2006-01-25 |
| 1376986059 | Sara Boutwell Phillips | Pediatrics | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7419 | 2013-04-11 |
| 1700139664 | Faye Knowles | Pediatrics | 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401-5235 | 2012-10-17 |
| 1356640817 | Michelle Murphree Parchman | Pediatrics | 4880 Harkey Ln, Tuscaloosa, AL 35406-2863 | 2011-03-23 |
| 1518175652 | Megan W Mcgiffert | Pediatrics | 4880 Harkey Ln, Tuscaloosa, AL 35406-2863 | 2007-05-21 |
| 1447371026 | Heather Marie Taylor | Pediatrics | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7419 | 2007-04-02 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35404 |
Please comment or provide details below to improve the information on PURE INTEGRATIVE WELLNESS AND HYDRATION LLC.
| 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.