Organization Active NPI

KRS Health LLC

Doing business as AquafyIV

  • Nurse Practitioner
  • Longmont, CO
National Provider Identifier
1144827825
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KRS HEALTH LLC
Doing business as
AquafyIV
Practice address
700 Ken Pratt Blvd Ste 106
Longmont, CO 80501-6454
Phone
(623) 363-1185
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Authorized official

Name
Mr. Scott William Horton, NPNPI 1902278708
Title
Medical Director and Owner
Phone
(623) 363-1185

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

700 Ken Pratt Blvd Ste 106
Longmont, CO 80501-6454

Mailing address

3362 Dovetail Dr
Berthoud, CO 80513-8931
Phone (623) 363-1185

Other practice location 1

3362 Dovetail Dr
Berthoud, CO 80513-8931
Phone (623) 363-1185

Other identifiers 1

IdentifierTypeStateIssuer
1902278708OtherNPI

Other names 1

  • AquafyIV Doing business as

National Provider Directory

National Provider Directory

Locations

700 Ken Pratt Blvd
Ste 106
Longmont, CO 80501
Phone (623) 363-1185

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1144827825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3362 DOVETAIL DR",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805138931",
            "telephone_number": "623-363-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KEN PRATT BLVD STE 106",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016454",
            "telephone_number": "623-363-1185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3362 Dovetail Dr",
            "address_purpose": "LOCATION",
            "city": "Berthoud",
            "state": "CO",
            "postal_code": "805138931",
            "country_code": "US",
            "telephone_number": "623-363-1185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "623-363-1185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902278708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AquafyIV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AquafyIV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.