Organization Active NPI

Be Pampered Foot Spa 1, LLC

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1073397980
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BE PAMPERED FOOT SPA 1, LLC
Practice address
4130 Salisbury Rd Ste 1020
Jacksonville, FL 32216-0948
Phone
(904) 768-0022
NPI assigned
Aug 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Kathy GriggsNPI 1750960142
Title
Owner/Certified Podalogist
Phone
(904) 768-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4130 Salisbury Rd Ste 1020
Jacksonville, FL 32216-0948

Mailing address

4130 Salisbury Rd Ste 1020
Jacksonville, FL 32216-0948
Phone (904) 768-0022

National Provider Directory

National Provider Directory

Locations

4130 Salisbury Rd
Ste 1020
Jacksonville, FL 32216
Phone (904) 768-0022

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1073397980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 SALISBURY RD STE 1020",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160948",
            "telephone_number": "904-768-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 SALISBURY RD STE 1020",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160948",
            "telephone_number": "904-768-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE PAMPERED FOOT SPA 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER/CERTIFIED PODALOGIST",
        "authorized_official_telephone_number": "904-768-0022"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.