Active NPI
Shokr Hydration PLLC
- Clinic/Center
- Colleyville, TX
National Provider Identifier
1265238778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SHOKR HYDRATION PLLC
- Practice address
- 1124 Glade Rd Ste 160
Colleyville, TX 76034-4294 - Phone
- (817) 984-3460
- Fax
- (817) 984-3463
- NPI assigned
- Feb 24, 2025
- Last updated
- Feb 24, 2025
- 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
- Amelia Doris Ledbetter
- Title
- Director of Operations
- Phone
- (573) 803-5205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1124 Glade Rd Ste 160
Colleyville, TX 76034-4294
Mailing address
1124 Glade Rd Ste 160
Colleyville, TX 76034-4294
Phone (817) 984-3460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250214000055 | TX | Part B Supplier - Clinic/Group Practice | 4284164641 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Colleyville, TX; Dalhart, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Hyatt Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Dalhart, TX
- NPI 1144049073
-
- Family Nurse Practitioner
- Midland, TX
- NPI 1619785656
-
- Nurse Practitioner
- Amarillo, TX
- NPI 1043766272
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1164748810
-
- Family Nurse Practitioner
- Fort Worth, TX
- NPI 1780447227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1265238778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 GLADE RD STE 160",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760344294",
"telephone_number": "817-984-3460",
"fax_number": "817-984-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 GLADE RD STE 160",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760344294",
"telephone_number": "817-984-3460",
"fax_number": "817-984-3463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOKR HYDRATION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "LEDBETTER",
"authorized_official_first_name": "AMELIA",
"authorized_official_middle_name": "DORIS",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "573-803-5205"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colleyville, TX
- Susan Sinnamon Shields, M.S., CCC/SLP
- Shilpa Karri DDS PLLC (Serene Dental)
- Shimira Holdings Inc (Colleyville Place Assisted Living)
- Shital Chavda M.D., PLLC
- Marypaula Njouda Shiti, PHARM D
- Marie Shutt
- Batool Summer Siddiqui, CPO
- Signature Home Care LLC
- Stephanie E Silva, LPC-ASSOCIATE
- Silver Ridge Assisted Living
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.