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Wellness Integrative Health LLC

NPI 1922835529ActiveOrganization· Nurse Practitioner, Gerontology· Austin, TX

Nurse Practitioner, Gerontology in Austin, Texas, registered in NPPES in September 2024. The authorized official on file is Quinta Fonkwa, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1922835529
StatusActive
Entity typeOrganization
NPI issuedSep 17, 2024
Last updated in NPPESNov 25, 2025
Certified by providerNov 25, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Gerontology Primary363LG0600X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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