Active NPI
Nutradrip IV Hydration & Wellness Clinic, PLLC
- Family Nurse Practitioner
- Rocky Mount, NC
National Provider Identifier
1013669654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- NUTRADRIP IV HYDRATION & WELLNESS CLINIC, PLLC
- Practice address
- 4049 Capital Dr
Rocky Mount, NC 27804-3123 - Phone
- (252) 443-3550
- Fax
- (252) 443-3590
- NPI assigned
- Jan 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya McCurdy, FNP-BC
- Title
- Ceo/ President
- Phone
- (252) 314-7087
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4049 Capital Dr
Rocky Mount, NC 27804-3123
Mailing address
4049 Capital Dr
Rocky Mount, NC 27804-3123
Phone (252) 443-3550
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2235520 | Nutradrip IV Hydration & Wellness Clinic | Certificate of waiver | Sep 8, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Rocky Mount, NC
- NPI 1417027830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643760000000",
"number": "1013669654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4049 CAPITAL DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043123",
"telephone_number": "252-443-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4049 CAPITAL DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043123",
"telephone_number": "252-443-3550",
"fax_number": "252-443-3590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRADRIP IV HYDRATION & WELLNESS CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-25",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A",
"authorized_official_last_name": "MCCURDY",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "CEO/ PRESIDENT",
"authorized_official_telephone_number": "252-314-7087",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.