Organization Active NPI

Ivy Infusion Services, LLC

  • Infusion Therapy Clinic/Center
  • Lubbock, TX
National Provider Identifier
1235979618
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
IVY INFUSION SERVICES, LLC
Practice address
2222 Indiana Ave
Lubbock, TX 79410-2100
Phone
(806) 438-3544
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Dr. Brooke Hobgood, MD
Title
Manager
Phone
(806) 438-3544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

2222 Indiana Ave
Lubbock, TX 79410-2100

Mailing address

2222 Indiana Ave
Lubbock, TX 79410-2100
Phone (806) 438-3544

National Provider Directory

National Provider Directory

Locations

2222 Indiana Ave
Lubbock, TX 79410
Phone (806) 209-5140

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1235979618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102100",
            "telephone_number": "806-438-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102100",
            "telephone_number": "806-438-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY INFUSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "HOBGOOD",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-438-3544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.