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INTEGRATED WELLNESS
NPI 1568009140
Nurse Practitioner - Family in Peoria, IL

Active since December 03, 2019
5016 N UNIVERSITY ST STE 104, PEORIA, IL 61614(217) 491-0355 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED WELLNESS (NPI 1568009140) is a healthcare organization registered as a family in Peoria, Illinois and active in the NPI registry since December 2019. The organization lists Kiryn Evans, Fnp-c, Fpa, Owner, as its authorized official.

NPPES Registry Identity

NPI1568009140
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATED WELLNESS
Location Address5016 N UNIVERSITY ST STE 104Peoria, IL 61614-4763
Mailing Address5016 N University St Ste 104Peoria, IL 61614-4763 · (217) 491-0355
Phone(217) 491-0355
Organization SubpartNo
Authorized OfficialKiryn EvansFnp-c, Fpa, Owner · (217) 491-0355
Enumeration DateDecember 3, 2019
✔ NPI 1568009140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5016 N UNIVERSITY ST STE 104, Peoria, IL 61614
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRINITY MASTON COUNSELING
Clinic/Center (Adult Mental Health)
5016 N UNIVERSITY ST STE 104
PEORIA, IL 61614
Peoria County (309) 517-2705
KIRYN EVANS FNP-C, FPA
Nurse Practitioner (Family)
5016 N UNIVERSITY ST STE 104
PEORIA, IL 61614
Peoria County (217) 491-0355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Wellness's NPI number?

The NPI number for Integrated Wellness is 1568009140. It was assigned to this organization in the NPPES registry on December 3, 2019.

Where is Integrated Wellness located?

Integrated Wellness is located at 5016 N University St Ste 104, Peoria, IL 61614. The listed phone number is (217) 491-0355.

What is Integrated Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Integrated Wellness was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.