A-1 IV Rehydration Clinic and Lounge
NPI 1932806783ActiveOrganization· Nurse Practitioner, Family· Wichita, KS
Nurse Practitioner, Family in Wichita, Kansas, registered in NPPES in February 2023. The authorized official on file is Teresa Jackson, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932806783 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2023 |
| Last updated in NPPES | Apr 27, 2023 |
| Certified by provider | Apr 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS) |
|---|
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