Organization
DREAMSCAPE KETAMINE AND IV THERAPY LOUNGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY ANN SMITH RN (COO)
(619) 674-0266
Entity
Organization
Contact information
Practice address
3530 CAMINO DEL RIO N STE 200, SAN DIEGO, CA 92108-1745
(619) 992-9778
(619) 374-1696
Mailing address
3530 CAMINO DEL RIO N STE 200, SAN DIEGO, CA 92108-1745
(619) 674-0266
(619) 228-9877
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
364S00000X
Clinical Nurse Specialist
—
—
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/13/2025
Last updated
02/26/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up