Organization Active NPI

Jazzbeutybar Limited Liability Company

  • Prosthetic/Orthotic Supplier
  • Murfreesboro, TN
National Provider Identifier
1083197487
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JAZZBEUTYBAR LIMITED LIABILITY COMPANY
Practice address
231 Veterans Pkwy Ste C.1
Murfreesboro, TN 37128-6437
Phone
(615) 603-6627
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Jasmine McKenzieNPI 1548753536
Title
Licensed Stylist
Phone
(615) 603-6627

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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

231 Veterans Pkwy Ste C.1
Murfreesboro, TN 37128-6437

Mailing address

5150 Jack Byrnes Dr Apt 3202
Murfreesboro, TN 37128-7057
Phone (615) 603-6627

Other practice location 1

3038 Rg Buchanan Dr
LA Vergne, TN 37086-6100
Phone (901) 626-4051

Other identifiers 1

IdentifierTypeStateIssuer
1083197487MedicaidTN

Other names 1

  • JazzBeautyBar LLC Doing business as

National Provider Directory

National Provider Directory

Locations

231 Veterans Pkwy
Ste C1
Murfreesboro, TN 37128
Phone (615) 603-6627

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": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1083197487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 JACK BYRNES DR APT 3202",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287057",
            "telephone_number": "615-603-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 VETERANS PKWY STE C.1",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286437",
            "telephone_number": "615-603-6627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3038 Rg Buchanan Dr",
            "address_purpose": "LOCATION",
            "city": "LA Vergne",
            "state": "TN",
            "postal_code": "370866100",
            "country_code": "US",
            "telephone_number": "901-626-4051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAZZBEUTYBAR LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "LICENSED STYLIST",
        "authorized_official_telephone_number": "615-603-6627"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083197487",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JazzBeautyBar LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JazzBeautyBar LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.