Active NPI
Be Envied Beauty Co LLC
- Other Specialist/Technologist
- Baxter, MN
National Provider Identifier
1255236519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Legal business name
- BE ENVIED BEAUTY CO LLC
- Practice address
- 7760 Excelsior Rd Ste 104
Baxter, MN 56425-9768 - Phone
- (407) 982-4876
- Fax
- (407) 650-2758
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- 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
- Tracy Roach
- Title
- Owner
- Phone
- (407) 982-4876
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | NU | Primary |
Addresses
Primary practice location
7760 Excelsior Rd Ste 104
Baxter, MN 56425-9768
Mailing address
7760 Excelsior Rd Ste 104
Baxter, MN 56425-9768
Phone (407) 982-4876
Practitioners & affiliated clinicians
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.
-
- Other Specialist/Technologist
- Baxter, MN
- NPI 1053216317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1255236519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 EXCELSIOR RD STE 104",
"city": "BAXTER",
"state": "MN",
"postal_code": "564259768",
"telephone_number": "407-982-4876",
"fax_number": "407-650-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7760 EXCELSIOR RD STE 104",
"city": "BAXTER",
"state": "MN",
"postal_code": "564259768",
"telephone_number": "407-982-4876",
"fax_number": "407-650-2758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE ENVIED BEAUTY CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "ROACH",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-982-4876"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.