Blessed Hands IV Hydration & Wellness LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

BLESSED HANDS IV HYDRATION & WELLNESS LLC

Practice address

3501 Rice St Ste 2022
Lihue, HI 96766-1757

Phone

(808) 755-5056

NPI assigned

Nov 25, 2020

Last updated

May 7, 2025By 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. Lucky K Robinson, AGPC, DNP-CNPI 1043873698

Title

Ceo

Phone

(808) 378-2400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

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.

• Lucky Robinson, APRN, AGPC-NP-C

  • Adult Health Nurse Practitioner
  • Lihue, HI
  • NPI 1043873698
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1245834779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 RICE ST STE 2020",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661757",
            "telephone_number": "808-378-2400",
            "fax_number": "866-783-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 RICE ST STE 2022",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661757",
            "telephone_number": "808-755-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HANDS IV HYDRATION & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LUCKY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-378-2400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AGPC, DNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett Jacoby DDS Ms Inc.
• Elvie Rose Bisarra
• Candace H. Bishop
• Alexander Jay Bivens, PH.D.
• John R. Black
• Blessed Hands Mobile PLLC
• William E. Bodenstab, M.D.
• Kathleen M. Bogdan, M.S.
• Laurie E Bolton, LMT
• Carla Bonfim

• Adult Health Nurse Practitioner in Lihue, HI
• Providers in Lihue, HI by specialty
• Adult Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.