1St Clas Aesthetics & Health Care Services LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

1ST CLAS AESTHETICS & HEALTH CARE SERVICES LLC

Practice address

1020 Edgewood Rd
Edgewood, MD 21040-1606

Phone

(443) 409-6619

NPI assigned

Feb 7, 2023

Last updated

Feb 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cecilia L Bibio, CRNPNPI 1316504301

Title

Owner

Phone

(405) 881-9773

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cecilia Lariba Bibio, NP

  • Acute Care Nurse Practitioner
  • Edgewood, MD
  • NPI 1316504301
  Authorized official Same address or phone

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1225734569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 TRALEE CIR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012643",
            "telephone_number": "405-881-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 EDGEWOOD RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401606",
            "telephone_number": "443-409-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CLAS AESTHETICS & HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "BIBIO",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-881-9773",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N99885",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acute Care Nurse Practitioner in Edgewood, MD
• Providers in Edgewood, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.