INTEGRATIVE NUTRITION AND WELLNESS, LLC
NPI 1871320705
Dietitian, Registered in Raleigh, NC

Active since September 16, 2024
5109 BUR OAK CIR STE 103, RALEIGH, NC 27612(919) 907-0995(919) 386-4177 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2025, Oct 8, 2024, Sep 16, 2024 (3 updates tracked since 2024).

About Integrative Nutrition And Wellness, Llc NPPES

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

INTEGRATIVE NUTRITION AND WELLNESS, LLC (NPI 1871320705) is a healthcare organization registered as a dietitian, registered in Raleigh, North Carolina and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Durham and lists Brandi Crosson, Owner, as its authorized official.

NPPES Registry Identity

NPI1871320705
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameINTEGRATIVE NUTRITION AND WELLNESS, LLC
Location Address5109 BUR OAK CIR STE 103Raleigh, NC 27612-3101
Mailing Address2908 Scuppernong LnDurham, NC 27703-9263 · (919) 793-8994
Fax(919) 386-4177
Organization SubpartNo
Authorized OfficialBrandi CrossonOwner · (919) 793-8994
Enumeration DateSeptember 16, 2024
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1871320705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
5109 BUR OAK CIR STE 103, Raleigh, NC 27612

Secondary Practice Location 1

Location 12908 Scuppernong LnDurham, NC 27703-9263 · Phone (919) 907-0995

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrative Nutrition And Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrative Nutrition And Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1619605243
2908 SCUPPERNONG LN
Durham, NC 27703
(919) 793-8994
8.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Integrative Nutrition And Wellness, LLC's NPI number?

The NPI number for Integrative Nutrition And Wellness, LLC is 1871320705. It was assigned to this organization in the NPPES registry on September 16, 2024.

Where is Integrative Nutrition And Wellness, LLC located?

Integrative Nutrition And Wellness, LLC is located at 5109 Bur Oak Cir Ste 103, Raleigh, NC 27612. The listed phone number is (919) 907-0995.

What is Integrative Nutrition And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Integrative Nutrition And Wellness, LLC enrolled in Medicare?

Yes. Integrative Nutrition And Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Nutrition And Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Integrative Nutrition And Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrative Nutrition And Wellness, LLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.