Organization Active NPI

New Skin Medical Spa and Aesthetics

  • Clinic/Center
  • Nashville, TN
National Provider Identifier
1215522644
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEW SKIN MEDICAL SPA AND AESTHETICS
Practice address
476 Rochelle Dr
Nashville, TN 37220-2044
Phone
(714) 328-4288
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Catherine Marie Parker, NP, MSNNPI 1154103687
Title
Owner, Nurse Practitioner
Phone
(714) 328-4288

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

476 Rochelle Dr
Nashville, TN 37220-2044

Mailing address

476 Rochelle Dr
Nashville, TN 37220-2044
Phone (714) 328-4288

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL newskinmedicalspa.myaestheticrecord.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1215522644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 ROCHELLE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372202044",
            "telephone_number": "714-328-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 ROCHELLE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372202044",
            "telephone_number": "714-328-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SKIN MEDICAL SPA AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "714-328-4288",
        "authorized_official_credential": "NP, MSN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "newskinmedicalspa.myaestheticrecord.com",
            "affiliation": "N",
            "endpointDescription": "patient portal EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient portal",
            "address_1": "476 Rochelle Dr",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372202044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.