Organization Active NPI

Hydration Wellness Bar LLC

  • Primary Care Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1508574443
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HYDRATION WELLNESS BAR LLC
Practice address
13530 Northgate Estates Dr Ste 110
Colorado Springs, CO 80921-7651
Phone
(719) 358-6000
NPI assigned
Nov 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Jayme Oakley, NP
Title
Nurse Practitioner
Phone
(720) 917-9149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

13530 Northgate Estates Dr Ste 110
Colorado Springs, CO 80921-7651

Mailing address

13530 Northgate Estates Dr Ste 110
Colorado Springs, CO 80921-7651
Phone (719) 358-6000

National Provider Directory

National Provider Directory

Locations

13530 Northgate Estates Dr
Ste 110
Colorado Springs, CO 80921
Phone (719) 358-6000

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": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1508574443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 NORTHGATE ESTATES DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217651",
            "telephone_number": "719-358-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 NORTHGATE ESTATES DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217651",
            "telephone_number": "719-358-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRATION WELLNESS BAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "JAYME",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "720-917-9149",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.