Organization Active NPI

Ivitamin Services

  • Infusion Therapy Clinic/Center
  • Austin, TX
National Provider Identifier
1750171716
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
IVITAMIN SERVICES
Practice address
515 S Congress Ave Ste 104
Austin, TX 78704-1776
Phone
(512) 275-6448
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Courtney Jackson, FNP-CNPI 1508494600
Title
Nurse Practitioner
Phone
(512) 275-6448

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

515 S Congress Ave Ste 104
Austin, TX 78704-1776

Mailing address

515 S Congress Ave Ste 104
Austin, TX 78704-1776
Phone (512) 275-6448

National Provider Directory

National Provider Directory

Locations

515 S Congress Ave
Ste 104
Austin, TX 78704
Phone (512) 275-6448

Practitioners & affiliated clinicians

Practitioners 5

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": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1750171716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S CONGRESS AVE STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041776",
            "telephone_number": "512-275-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S CONGRESS AVE STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041776",
            "telephone_number": "512-275-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVITAMIN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "512-275-6448",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.