OrganizationActive
Integrated Wellness
NPI 1063788701 · Multi-Specialty Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1063788701
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joshua Peiper, Chief Operating Officer(505) 433-0335
- License
- FA01022864 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10209 Nacimiento St Nw
Albuquerque, NM 87114-4457
Phone: (505) 433-0335
Street-level locationGet directions
Mailing address
10209 Nacimiento St Nw
Albuquerque, NM 87114-4457
Registry dates
- Enumerated
- 2012-03-27
- Last updated
- 2012-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.