Awaken IV
Awaken IV is a healthcare organization registered as Infusion Therapy Clinic/Center in Boulder, CO, holding Type 2 (organization) NPI 1417810631 since 2025. The authorized official on file is Nicholas Wingo, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417810631 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Awaken IV |
| Practice address | 5277 MANHATTAN CIR STE 260, Boulder, CO, 80303 |
| Phone | 3034093690 |
| Enumeration date | 2025-12-04 |
| Last updated in NPPES | 2025-12-04 |
Authorized official
| Name | Nicholas Wingo |
|---|---|
| Title | Ceo |
| Phone | 3039290946 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Secondary | — | — |
| 261QI0500X | Infusion Therapy Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Awaken IV NPI: 1417810631 Taxonomy: 261QI0500X (Infusion Therapy Clinic/Center) Address: 5277 MANHATTAN CIR STE 260, Boulder, CO, 80303
Verify this record
Cross-check NPI 1417810631 against the authoritative CMS record: view Awaken IV on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Awaken IV?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-04.