Ivr Rejuvenation Station, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IVR REJUVENATION STATION, LLC

Doing business as

IVRS Wellness Center- (IV Rejuvenation Station, LLC)

Practice address

4515 Cornell St Ste B
Amarillo, TX 79109-5810

Phone

(806) 322-0747

Fax

(855) 618-2426

NPI assigned

Oct 5, 2023

Organization subpart

No

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

Authorized official

Name

Erin Elizabeth Montgomery, RNNPI 1083583900

Title

Owner, Clinical Services Director

Phone

(806) 282-1437

Specialties & licenses 1

Addresses

Other names 1

• IVRS Wellness Center- (IV Rejuvenation Station, LLC) Doing business as

Locations

Practitioners 1

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

• Erin Elizabeth Montgomery

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1083583900
  NPD Authorized official

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1619757671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S TAYLOR ST STE 1045",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012401",
            "telephone_number": "806-367-4830",
            "fax_number": "855-618-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 CORNELL ST STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095810",
            "telephone_number": "806-322-0747",
            "fax_number": "855-618-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Sunset Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371222968",
            "country_code": "US",
            "telephone_number": "615-553-6605",
            "fax_number": "855-618-2426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Quaker Ave Unit 154",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794244298",
            "country_code": "US",
            "telephone_number": "806-722-9994",
            "fax_number": "855-618-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IVR REJUVENATION STATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER, CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "806-282-1437",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVRS Wellness Center- (IV Rejuvenation Station, LLC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thayer Ismaael, MD
• Anna Isom, LPC
• Kim E Israel, MD
• Susmitha Issac
• Jana Ivey, LPC
• Ivrs Healthcare
• Mark W. Izzard, PSY. D.
• J Craig Gladman O.D. P.a.
• J. Brian Sims, MD, PA
• J. Michael Archer DDS Inc

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.