Active NPI
Alluring Aesthetics PLLC
- Clinic/Center
- Occoquan, VA
National Provider Identifier
1114721719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ALLURING AESTHETICS PLLC
- Practice address
- 300 Ellicott St Ste D
Occoquan, VA 22125-7715 - Phone
- (904) 540-1391
- NPI assigned
- Apr 2, 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
- Mrs. Jenniffer Lynn Reis, ARNP
- Title
- Owner
- Phone
- (904) 540-1391
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
300 Ellicott St Ste D
Occoquan, VA 22125-7715
Mailing address
12760 Quarterhorse LN
Woodbridge, VA 22192-5046
Phone (904) 540-1391
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Woodbridge, VA
- NPI 1356057970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743552000000",
"number": "1114721719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12760 QUARTERHORSE LN",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925046",
"telephone_number": "904-540-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ELLICOTT ST STE D",
"city": "OCCOQUAN",
"state": "VA",
"postal_code": "221257715",
"telephone_number": "904-540-1391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLURING AESTHETICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A",
"authorized_official_last_name": "REIS",
"authorized_official_first_name": "JENNIFFER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-540-1391",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Occoquan, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.