NPIMap

Organization Active NPI

IV Bar Med-Spa LLC

  • Point of Service
  • Mason, OH
National Provider Identifier
1326799982
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
IV BAR MED-SPA LLC
Practice address
7577 Central Parke Blvd Ste 213
Mason, OH 45040-6829
Phone
(513) 237-6414
Fax
(513) 392-4302
NPI assigned
Jan 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Authorized official

Name
Sheri Colvin-Jackson, RNNPI 1053644831
Title
Ceo
Phone
(513) 237-6414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

7577 Central Parke Blvd Ste 213
Mason, OH 45040-6829

Mailing address

7577 Central Parke Blvd Ste 213
Mason, OH 45040-6829
Phone (513) 237-6414

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ivbarmedspa@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642204800000",
    "number": "1326799982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7577 CENTRAL PARKE BLVD STE 213",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406829",
            "telephone_number": "513-237-6414",
            "fax_number": "513-392-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7577 CENTRAL PARKE BLVD STE 213",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406829",
            "telephone_number": "513-237-6414",
            "fax_number": "513-392-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV BAR MED-SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A",
        "authorized_official_last_name": "COLVIN-JACKSON",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-237-6414",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ivbarmedspa@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7577 Central Parke Blvd Ste 213",
            "city": "Mason",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450406829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.