1. Home
  2. Directory
  3. Texas
  4. Azle
  5. Nurse Practitioner
  6. NPI Profile

ESSENTIAL HYDRATION PLLC
NPI 1861178345
Nurse Practitioner in Azle, TX

Active since June 27, 2023CLIA 45D2339130 · Waiver

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Essential Hydration Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIAL HYDRATION PLLC (NPI 1861178345) is a healthcare organization registered as a nurse practitioner in Azle, Texas and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Brian C Crenshaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1861178345
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameESSENTIAL HYDRATION PLLC
Location Address109 W MAIN STAzle, TX 76020-3117
Mailing Address109 W Main StAzle, TX 76020-3117
Phone(817) 775-3502
Organization SubpartNo
Authorized OfficialBrian C CrenshawOwner · (817) 775-3502
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1861178345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
109 W MAIN ST, Azle, TX 76020
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2339130

Essential Hydration · Azle, TX
Active · expires Feb 23, 2028
CLIA Number45D2339130
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorAmber Larimore-Olguin
Laboratory Phone(817) 775-3502
Laboratory LocationEssential Hydration109 W Main St, Azle, TX 76020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Essential Hydration PLLC's NPI number?

The NPI number for Essential Hydration PLLC is 1861178345. It was assigned to this organization in the NPPES registry on June 27, 2023.

Where is Essential Hydration PLLC located?

Essential Hydration PLLC is located at 109 W Main St, Azle, TX 76020. The listed phone number is (817) 775-3502.

What is Essential Hydration PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Essential Hydration PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2339130) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Essential Hydration PLLC was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.