Vitasuite IV & Ketamine Therapy

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

VITASUITE IV & KETAMINE THERAPY

Practice address

509 N Adams St Ste 2
Carroll, IA 51401-2767

Phone

(712) 775-2434

Fax

(712) 775-2534

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Ruth Petros, CRNANPI 1992914022

Title

Part Owner

Phone

(712) 775-2434

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Petros, BA

  • Certified Registered Nurse Anesthetist
  • Carroll, IA
  • NPI 1992914022
  NPD Authorized official

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1235724147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N ADAMS ST STE 2",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012767",
            "telephone_number": "712-775-2434",
            "fax_number": "712-775-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N ADAMS ST STE 2",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012767",
            "telephone_number": "712-775-2434",
            "fax_number": "712-775-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITASUITE IV & KETAMINE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "PETROS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "712-775-2434",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Troshynski, APRN FNP-C
• True Wellness Counseling P.L.C.
• Virginia Ann Uhlenkamp, ARNP
• Julie M Underhill
• Samantha Jo Venteicher
• Cara Vogl
• Megan Vonnahme, PHARMD
• Benjamin Wachholtz, DDS
• Denise Wade, PHARM D
• Wal-Mart Stores, Inc.

• Infusion Therapy Clinic/Center in Carroll, IA
• Providers in Carroll, IA by specialty
• Infusion Therapy Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.