Blu Spa & Slaon, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

21BL1296864 Issued in NY

Legal business name

BLU SPA & SLAON, LLC

Practice address

3030 Orchard Park Rd
West Seneca, NY 14224-4638

Phone

(716) 675-2258

NPI assigned

Jul 28, 2009

Organization subpart

No

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

Authorized official

Name

Vicki R Kehr

Title

Ceo

Phone

(716) 675-2258

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Blu Spa Salon LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Blu Spa & Salon LLC

  • Specialist
  • West Seneca, NY
  • NPI 1770812299
  NPD tax ID
• Blu Spa and Salon

  • Massage Therapist
  • West Seneca, NY
  • NPI 1073759973
  NPD tax ID

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1053542977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244638",
            "telephone_number": "716-675-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLU SPA & SLAON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "KEHR",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-675-2258"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "21BL1296864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF WESTERN NEW YORK",
            "identifier": "000500099004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF WESTERN NEW YORK",
            "identifier": "000524717014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda M Blazier, NP
• Jessie Bliss, BA
• Richard D Bloomberg, MD
• BLT Medical Group, LLP
• Blu Spa & Salon LLC
• Blu Spa and Salon
• Karen Lynn Bobinski, LMSW
• Anissa Bochiechio
• Jennifer Bognar, PA-C
• Rachael Marie Bogumil, LMT

• Specialist in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.