NPIMap

Organization Active NPI

NPS With Ivs Hydration and Wellness LLC

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1740920123
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NPS WITH IVS HYDRATION AND WELLNESS LLC
Practice address
13034 Shriners Blvd # B
Biloxi, MS 39532-8250
Phone
(228) 333-0133
Fax
(228) 901-5939
NPI assigned
Mar 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Gina Butler, NPNPI 1619966066
Title
Owner
Phone
(228) 697-4567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

13034 Shriners Blvd # B
Biloxi, MS 39532-8250

Mailing address

13066 Shriners Blvd Ste a
Biloxi, MS 39532-8616
Phone (228) 333-0133

Other names 1

  • Best Life Primary Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220420003043 MS Part B Supplier - Clinic/Group Practice 7113314188 Receives reassigned benefits from 3 practitioners
Practice locations: Biloxi, MS

National Provider Directory

National Provider Directory

Locations

13066 Shriners Blvd
Biloxi, MS 39532

13034 Shriners Blvd
Biloxi, MS 39532

13034 Shriners Blvd
#B
Biloxi, MS 39532
Phone (228) 333-0133

13066 Shriners Blvd
Ste Ab
Biloxi, MS 39532

Practitioners & affiliated clinicians

Practitioners 3

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": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1740920123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13066 SHRINERS BLVD STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328616",
            "telephone_number": "228-333-0133",
            "fax_number": "228-901-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13034 SHRINERS BLVD # B",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328250",
            "telephone_number": "228-333-0133",
            "fax_number": "228-901-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NPS WITH IVS HYDRATION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-697-4567",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Life Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.