Organization Active NPI

Vitadrip IV Therapy, Inc.

  • Nutrition Support Registered Nurse
  • Tomball, TX
National Provider Identifier
1760030019
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support Registered NurseTaxonomy code 163WN1003X
Legal business name
VITADRIP IV THERAPY, INC.
Practice address
13622 Country Time Cir
Tomball, TX 77375-3059
Phone
(281) 635-0994
NPI assigned
Aug 29, 2019
Last updated
Aug 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Robin R Dees
Title
Ceo
Phone
(281) 635-0994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WN1003X Primary

Addresses

Primary practice location

13622 Country Time Cir
Tomball, TX 77375-3059

Mailing address

13622 Country Time Cir
Tomball, TX 77375-3059

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL IntakeQ Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1760030019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13622 COUNTRY TIME CIR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13622 COUNTRY TIME CIR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753059",
            "telephone_number": "281-635-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITADRIP IV THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "DEES",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-635-0994"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Nutrition Support",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "IntakeQ",
            "affiliation": "N",
            "endpointDescription": "Soap URL used on IntakeQ",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13622 Country Time Cir",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773753059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.