Life Integrative Medicine
NPI 1326684259 · Psychiatry Physician · Wilmington, NC
Life Integrative Medicine is a Psychiatry Physician organization in Wilmington, NC (NPI 1326684259).
Provider details
- NPI number
- 1326684259
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeremy Revell, Owner/Provider(323) 216-0993
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
- Geriatric Psychiatry Physician2084P0805X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2019-11-26
- Last updated
- 2019-11-26
Frequently asked questions
- What is Life Integrative Medicine's NPI number?
- Life Integrative Medicine's National Provider Identifier (NPI) is 1326684259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Integrative Medicine?
- Life Integrative Medicine is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Life Integrative Medicine located?
- Life Integrative Medicine's practice location on file with NPPES is 2018 Eastwood Rd, Wilmington, NC 28403-7228.
- What is Life Integrative Medicine's phone number?
- The practice phone number listed in the NPPES registry for Life Integrative Medicine is (910) 787-1358.
- Who is the authorized official for Life Integrative Medicine?
- The authorized official listed on Life Integrative Medicine's NPPES record is Jeremy Revell, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Integrative Medicine's NPI active?
- Yes — Life Integrative Medicine's NPI (1326684259) is active in the NPPES registry as of the last update on 2019-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.