Agenacare Aesthetics, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

AGENACARE AESTHETICS, PLLC

Practice address

2727 Electric Rd
Roanoke, VA 24018-3540

Phone

(540) 529-5692

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Whitney Pugh, FNP-BCNPI 1235467572

Title

Owner

Phone

(540) 529-5692

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney Harlow Pugh, NP

  • Family Nurse Practitioner
  • Roanoke, VA
  • NPI 1235467572
  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1033853155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183540",
            "telephone_number": "540-529-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENACARE AESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-529-5692",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.