Active NPI
KRS Health LLC
Doing business as AquafyIV
- Nurse Practitioner
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott William Horton, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902278708 | Other | NPI |
Other names 1
- AquafyIV
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Aurora, CO
- NPI 1902278708
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.