INTEGRATED HEALTH AND WELLNESS LLC — NPI 1851922629 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family in INDEPENDENCE, LA)

CMS-1500 Box 24J / 33a • NPI

1851922629

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363LF0000X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family

Box 32 Service Location & ZIP+4

281 MARTIN LUTHER KING JR ST, INDEPENDENCE, LA, 70443-2386

✓ 9-Digit EDI 837 ZIP+4 (70443-2386)

Practice Phone & Referral Fax

(985) 606-2424

Fax: (985) 606-2390

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1851922629 (INTEGRATED HEALTH AND WELLNESS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1851922629` (NPI-2 Organization / Facility)
Provider / Legal Name	INTEGRATED HEALTH AND WELLNESS LLC
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: `363LF0000X` (Nurse Practitioner, Family)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	281 MARTIN LUTHER KING JR ST, INDEPENDENCE, LA, 70443-2386
Practice Telephone / Fax	Tel: (985) 606-2424 \| Fax: (985) 606-2390
Administrative Mailing Address	281 MARTIN LUTHER KING JR ST, INDEPENDENCE, LA, 70443-2386
Enumeration & Last Sync	Enumerated: 2020-01-30 \| CMS Record Updated: 2020-11-02
Authorized Official	VAUGHN GREEN (Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

281 MARTIN LUTHER KING JR ST, INDEPENDENCE, LA, 70443-2386

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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)

What Does Taxonomy Code 363LF0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Family for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (INTEGRATED HEALTH AND WELLNESS LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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INTEGRATED HEALTH AND WELLNESS LLC (NPI #1851922629)