Organization Active NPI

Glow Medspa Dripping

  • Community Health Registered Nurse
  • Dripping Springs, TX
National Provider Identifier
1013712652
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Legal business name
GLOW MEDSPA DRIPPING
Practice address
28515 RR 12
Dripping Springs, TX 78620-3800
Phone
(512) 673-0066
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer KillebrewNPI 1609132349
Title
Manager
Phone
(512) 673-0066

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)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X Primary

Addresses

Primary practice location

28515 RR 12
Dripping Springs, TX 78620-3800

Mailing address

28515 RR 12
Dripping Springs, TX 78620-3800
Phone (512) 673-0066

Other practice location 1

351 Exchange Blvd Ste 250
Hutto, TX 78634-5847
Phone (512) 673-0066

Other practice location 2

115 Kohlers Xing Ste 300
Kyle, TX 78640-2462
Phone (512) 673-0066

National Provider Directory

National Provider Directory

Locations

351 Exchange Blvd
Ste 250
Hutto, TX 78634
Phone (512) 580-7522

115 Kohlers Xing
Ste 300
Kyle, TX 78640
Phone (512) 318-3644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1013712652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28515 RR 12",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203800",
            "telephone_number": "512-673-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28515 RR 12",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203800",
            "telephone_number": "512-673-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Exchange Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Hutto",
            "state": "TX",
            "postal_code": "786345847",
            "country_code": "US",
            "telephone_number": "512-673-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Kohlers Xing Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786402462",
            "country_code": "US",
            "telephone_number": "512-673-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLOW MEDSPA DRIPPING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "KILLEBREW",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-673-0066"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.