Active NPI
KST Beauty & Body Care
- Psychologist
- North Chesterfield, VA
National Provider Identifier
1093511339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KST BEAUTY & BODY CARE
- Practice address
- 1233 Mall Dr
North Chesterfield, VA 23235-4737 - Phone
- (917) 856-6295
- NPI assigned
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natacha Williams
- Title
- Billing/Credentialing Director
- Phone
- (757) 608-9255
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Plastic Surgery Physician | 208200000X |
Addresses
Primary practice location
1233 Mall Dr
North Chesterfield, VA 23235-4737
Mailing address
1233 Mall Dr
North Chesterfield, VA 23235-4737
National Provider Directory
National Provider DirectoryLocations
1233 Mall Dr
North Chesterfield, VA 23235
Phone (804) 794-2508
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Chesterfield, VA
- NPI 1982277117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1093511339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 MALL DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 MALL DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354737",
"telephone_number": "917-856-6295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KST BEAUTY & BODY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "NATACHA",
"authorized_official_title_or_position": "BILLING/CREDENTIALING DIRECTOR",
"authorized_official_telephone_number": "757-608-9255"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.