NPIMap

Organization Active NPI

Ultimate Hydration and Wellness Services, LLC

  • Infusion Therapy Registered Nurse
  • Grand Prairie, TX
National Provider Identifier
1568183366
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
ULTIMATE HYDRATION AND WELLNESS SERVICES, LLC
Practice address
5847 Ridgeway Dr
Grand Prairie, TX 75052-0448
Phone
(214) 460-4669
NPI assigned
Sep 9, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Dr. Juliana Nkea Atem, DNPNPI 1841688595
Title
President/Owner
Phone
(214) 460-4669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WI0500X Primary

Addresses

Primary practice location

5847 Ridgeway Dr
Grand Prairie, TX 75052-0448

Mailing address

5847 Ridgeway Dr
Grand Prairie, TX 75052-0448
Phone (214) 460-4669

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1568183366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520448",
            "telephone_number": "214-460-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520448",
            "telephone_number": "214-460-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HYDRATION AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "ATEM",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "NKEA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-460-4669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5847 Ridgeway Dr",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750520448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.