Nu Vitality Hydration and Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NU VITALITY HYDRATION AND WELLNESS

Practice address

2719 Hollywood Blvd # L-12
Hollywood, FL 33020-4821

Phone

(954) 852-6954

NPI assigned

Oct 12, 2022

Last updated

Mar 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dorrian Chisholm, APRN

Title

FNP-C

Phone

(954) 998-1131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1164148011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 HOLLYWOOD BLVD # L-12",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204821",
            "telephone_number": "954-852-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 HOLLYWOOD BLVD # L-12",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204821",
            "telephone_number": "954-852-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU VITALITY HYDRATION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "DORRIAN",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "954-998-1131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nicole Noya, PT, DPT
• Brittany Noyola, LCSW
• NP on Demand, Inc.
• Nti Medical Supplies LLC
• Nu Lifestyle LLC
• Mona Lisa Nuccitelli, LCSW
• Carlene Nugent
• Ivor A Nugent, MD
• Dorothy Jean Nulty, ARNP
• Miguel Arnaldos Nunez Ferrer

• Primary Care Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.