Active NPI
Ivy Drip IV Hydration, Aesthetics, and Weight Loss
- Primary Care Clinic/Center
- Katy, TX
National Provider Identifier
1114666203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- IVY DRIP IV HYDRATION, AESTHETICS, AND WEIGHT LOSS
- Practice address
- 5330 Fry Rd
Ste C
Katy, TX 77449 - Phone
- (832) 721-2629
- NPI assigned
- May 27, 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 Cains-Barnes
- Title
- FNP-C
- Phone
- (832) 721-2629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
5330 Fry Rd
Ste C
Katy, TX 77449
Mailing address
5330 Fry Rd
Ste C
Katy, TX 77449
Other names 1
- Ivy Drip Hydration & Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Katy, TX
- NPI 1447978127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653609600000",
"number": "1114666203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5330 FRY RD",
"address_2": "STE C",
"city": "KATY",
"state": "TX",
"postal_code": "77449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 FRY RD",
"address_2": "STE C",
"city": "KATY",
"state": "TX",
"postal_code": "77449",
"telephone_number": "832-721-2629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVY DRIP IV HYDRATION, AESTHETICS, AND WEIGHT LOSS",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-27",
"last_updated": "2022-05-27",
"certification_date": "2022-05-16",
"status": "A",
"authorized_official_last_name": "CAINS-BARNES",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "FNP-C",
"authorized_official_telephone_number": "832-721-2629"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ivy Drip Hydration & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.