The Hydration Room

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

THE HYDRATION ROOM

Practice address

833 Anderson Ave Ste 1
Coos Bay, OR 97420-4641

Phone

(541) 290-3090

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Nikkona Henderson, FNPNPI 1568014942

Title

FNP/Owner

Phone

(541) 290-3090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nikkona Henderson, FNP

  • Family Nurse Practitioner
  • Coos Bay, OR
  • NPI 1568014942
  NPD Authorized official

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1376234500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ANDERSON AVE STE 1",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204641",
            "telephone_number": "541-290-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 ANDERSON AVE STE 1",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204641",
            "telephone_number": "541-290-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HYDRATION ROOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "NIKKONA",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "541-290-3090",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Rose Templeton, DNP, FNP-C
• Jennifer Kristina Tenney
• Ted Jay Terry, DMD
• Steven Alan Tersigni, MD, FACS
• Man Thai, PHARMD
• Therapeutic Innovations, LLC
• Ndeye Thiaw
• Heather Thoma, RN, QMHP
• Three Branches Clinic PC
• Mark B Titcomb, CRNA

• Infusion Therapy Clinic/Center in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Infusion Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.