Organization Active NPI

Vida IV Hydration and Wellness, LLC

  • Family Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1124744834
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VIDA IV HYDRATION AND WELLNESS, LLC
Doing business as
Vida IV Hydration and Wellness, LLC
Practice address
1221 28TH Ave Ste 5
Greeley, CO 80634-5466
Phone
(970) 702-4934
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Mrs. Erika I Kuhn, NPNPI 1861158347
Title
Family Nurse Practitioner
Phone
(970) 702-4934

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1221 28TH Ave Ste 5
Greeley, CO 80634-5466

Mailing address

6823 W 28TH St
Greeley, CO 80634-9656
Phone (970) 702-4934

Other names 1

  • Vida IV Hydration and Wellness, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1221 28th Ave
Ste 5
Greeley, CO 80634
Phone (970) 702-4934

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": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1124744834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 W 28TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349656",
            "telephone_number": "970-702-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 28TH AVE STE 5",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345466",
            "telephone_number": "970-702-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA IV HYDRATION AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "970-702-4934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida IV Hydration and Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.