The Body Bar Williamsburg

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

THE BODY BAR WILLIAMSBURG

Practice address

1004 Master St
Corbin, KY 40701-1066

Phone

(606) 215-3730

NPI assigned

Jul 24, 2022

Organization subpart

No

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

Authorized official

Name

Brittany Gillespie, RN

Title

Owner/RN

Phone

(606) 253-0619

Specialties & licenses 1

Addresses

Other names 1

• The Body Bar Doing business as

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658620800000",
    "number": "1043945959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 MASTER ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011066",
            "telephone_number": "606-215-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 MASTER ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011066",
            "telephone_number": "606-215-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY BAR WILLIAMSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/RN",
        "authorized_official_telephone_number": "606-253-0619",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Body Bar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Terrell, PHYSICAL THERAPIST
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• Selma Terrell, CADC
• Mendy Nicole Terry, BS
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• Therapeutic Solutions
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• Allison Taylor Thiels

• Registered Nurse in Corbin, KY
• Providers in Corbin, KY by specialty
• Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.