Organization Active NPI

Fusiondrip Hydration & Wellness LLC

  • Clinic/Center
  • New Albany, OH
National Provider Identifier
1891571204
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FUSIONDRIP HYDRATION & WELLNESS LLC
Practice address
68 N High St Ste 103
New Albany, OH 43054-8915
Phone
(614) 423-9121
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Alma Regeru, NPNPI 1093027880
Title
Nurse Practitioner
Phone
(614) 423-9121

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

68 N High St Ste 103
New Albany, OH 43054-8915

Mailing address

68 N High St Ste 103
New Albany, OH 43054-8915
Phone (614) 423-9121

Other names 1

  • None Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240605003769 OH Part B Supplier - Clinic/Group Practice 2163964172 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, OH

National Provider Directory

National Provider Directory

Locations

68 N High St
Bldg B
New Albany, OH 43054
Phone (614) 407-1621

68 N High St
Ste 103
New Albany, OH 43054
Phone (614) 407-1621

Practitioners & affiliated clinicians

Practitioners 1

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": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1891571204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 N HIGH ST STE 103",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548915",
            "telephone_number": "614-423-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N HIGH ST STE 103",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548915",
            "telephone_number": "614-423-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSIONDRIP HYDRATION & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "REGERU",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-423-9121",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.