Hydration Restoration

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

HYDRATION RESTORATION

Practice address

2992 S Grape Way
Denver, CO 80222-6857

Phone

(720) 394-1366

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mary Gomez Chambers, DNP, CNM, RNNPI 1841715778

Title

President & Chief Medical Officer

Phone

(720) 394-1366

Specialties & licenses 1

Addresses

Other names 1

• Denver Medical Concierges Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Denver Medical Concierges3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Hydration Restoration

  • Doula
  • Denver, CO
  • NPI 1104657683
  NPD tax ID
• Hydration Restoration

  • Non-emergency Medical Transport (VAN)
  • Denver, CO
  • NPI 1467283952
  NPD tax ID

Practitioners 3

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

• Mary Gomez Chambers, DNP, CNM, RN

  • Clinical Nurse Specialist
  • Denver, CO
  • NPI 1841715778
  Medicare reassignment Care Compare group NPD Authorized official
• Carly Greene, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Parker, CO
  • NPI 1619250552
  Medicare reassignment Care Compare group NPD
• Rebecca C Penkoff, FNP-BC

  • Family Nurse Practitioner
  • Westcliffe, CO
  • NPI 1144797853
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1740969211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2992 S GRAPE WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226857",
            "telephone_number": "720-394-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2992 S GRAPE WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226857",
            "telephone_number": "720-394-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRATION RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GOMEZ",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "720-394-1366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CNM, RN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Medical Concierges",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Hyde, OTD, OTR/L
• Quinn Henri Hyde, SWC
• Syed Hyder
• Hydration Restoration
• Hydration Restoration
• Jennifer Susan Hyer, MD
• Marlene Dawn Hyer, LPC
• Hygge Birth and Baby, LLC
• Jedediah Hyland
• Diana Hylton, RN

• Primary Care Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Primary Care Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.