CMS-1500 Box 24J / 33a • NPI
1932983590
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QP3300X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
320 PHILLIPS ST FL 1, NORTH KINGSTOWN, RI, 02852-5166
✓ 9-Digit EDI 837 ZIP+4 (02852-5166)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1932983590 (ADVANCED INTEGRATIVE MEDICINE) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1932983590 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED INTEGRATIVE MEDICINE |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QP3300X (Clinic/Center, Pain) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 320 PHILLIPS ST FL 1, NORTH KINGSTOWN, RI, 02852-5166 |
| Practice Telephone / Fax | Tel: (401) 206-0715 |
| Administrative Mailing Address | 8204 LISA LN, SMYRNA, TN, 37167-3364 |
| Enumeration & Last Sync | Enumerated: 2023-08-23 | CMS Record Updated: 2023-08-23 |
| Authorized Official | DERRYL NOWAK (COO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in NORTH KINGSTOWN
🔒 Are you ADVANCED INTEGRATIVE MEDICINE? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (261QP3300X)
What Does Taxonomy Code 261QP3300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP3300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED INTEGRATIVE MEDICINE)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225700000X — Massage TherapistPlain English: Licensed & Credentialed Massage Therapist | State: N/A | License: Verified | Primary: Secondary |
261QR0400X — Clinic/Center, RehabilitationPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QV0200X — Clinic/Center, VAPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
208VP0000X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine | State: N/A | License: Verified | Primary: Secondary |
111N00000X — ChiropractorPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor | State: N/A | License: Verified | Primary: Secondary |
171000000X — Military Health Care ProviderPlain English: Licensed & Credentialed Military Health Care Provider | State: N/A | License: Verified | Primary: Secondary |
261QP3300X — Clinic/Center, PainPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.