Jenerous Hydration LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

JENEROUS HYDRATION LLC

Practice address

1518 Sharon Valley Rd SE
New Philadelphia, OH 44663-7886

Phone

(330) 432-1045

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Rummell, APRN, NP-CNPI 1710655063

Title

Owner-Aprn

Phone

(330) 432-1045

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Jennifer Rummell, APRN NP-C

  • Nurse Practitioner
  • New Philadelphia, OH
  • NPI 1710655063

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1336817519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 SHARON VALLEY RD SE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446637886",
            "telephone_number": "330-432-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 SHARON VALLEY RD SE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446637886",
            "telephone_number": "330-432-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENEROUS HYDRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "RUMMELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER-APRN",
        "authorized_official_telephone_number": "330-432-1045",
        "authorized_official_credential": "APRN, NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nicole Incarnato
• S'Ence Shardyne' Inman, CDCA LL, QMHS, CMS
• Dustin Jackson
• Evan Jackson
• James J Cattarin OD Inc
• Jennifer L. Ney, D.O. Inc.
• Brionn Jones, PT
• Chris Jones
• Star Jones
• Shane Kamban, QMHS HS CMS

• Nurse Practitioner in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.