Organization Active NPI

Motor City Drip Hydration and Wellness LLC

Doing business as MCD Hydration and Wellness

  • Gerontology Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1780484998
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
MOTOR CITY DRIP HYDRATION AND WELLNESS LLC
Doing business as
MCD Hydration and Wellness
MCD Wellness
Practice address
21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713
Phone
(313) 969-7292
Fax
(313) 731-0144
NPI assigned
Mar 17, 2025
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Nicorya ScottNPI 1073270609
Title
Owner
Phone
(313) 969-7292

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
Clinic/Center 261Q00000X NU
Gerontology Nurse Practitioner 363LG0600X NU Primary

Addresses

Primary practice location

21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713

Mailing address

21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713
Phone (313) 969-7292

Other names 2

  • MCD HYDRATION AND WELLNESS Doing business as
  • MCD Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1780484998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD STE 11",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "313-969-7292",
            "fax_number": "313-731-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD STE 11",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "313-969-7292",
            "fax_number": "313-731-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOR CITY DRIP HYDRATION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NICORYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-969-7292"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCD HYDRATION AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCD Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.