Bunni Michelles Salon & Beauty Boutique LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BUNNI MICHELLES SALON & BEAUTY BOUTIQUE LLC

Practice address

3500 Virginia Beach Blvd Ste 208
Virginia Beach, VA 23452-4445

Phone

(872) 221-0616

Fax

(888) 474-7750

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Ebony Michelle Jackson

Title

Founder

Phone

(872) 221-0616

Specialties & licenses 1

Addresses

Other names 1

• B MICHELLE Cranial Prosthesis Doing business as

Electronic endpoints 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1013669142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD STE 208",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "872-221-0616",
            "fax_number": "888-474-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD STE 208",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "872-221-0616",
            "fax_number": "888-474-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNNI MICHELLES SALON & BEAUTY BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "872-221-0616"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8884747750",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Fax",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "8884747750",
            "address_1": "3500 Virginia Beach Blvd Ste 208",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234524445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8884747750",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "3500 Virginia Beach Blvd Ste 208",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234524445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "B MICHELLE Cranial Prosthesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andy Cameron Bunch, M.D.
• Kathleen Louise Bunch
• Lorenzo Jermaine Bunch
• Aimee Bundick Morgan, PA
• Sarai Medina Bundoc
• David Bunting
• Emily Bura, LPC, CSAC
• Donnell Burch
• Shannon N Burch, NP
• Tiffany Burchette

• All providers in Virginia Beach, VA
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.