Organization Active NPI

New Beautiful You Inc

  • Clinic/Center
  • Casper, WY
National Provider Identifier
1255951455
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEW BEAUTIFUL YOU INC
Practice address
1129 E 2ND St
Casper, WY 82601-2903
Phone
(307) 234-4585
Fax
(307) 265-7479
NPI assigned
Apr 17, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Mrs. Melissa D Black
Title
Owner
Phone
(307) 262-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1129 E 2ND St
Casper, WY 82601-2903

Mailing address

1129 E 2ND St
Casper, WY 82601-2903
Phone (307) 234-4585

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CASPER Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201228000766 WY Part B Supplier - Clinic/Group Practice 0840618203 Receives reassigned benefits from 2 practitioners
Practice locations: Casper, WY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1255951455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012903",
            "telephone_number": "307-234-4585",
            "fax_number": "307-265-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012903",
            "telephone_number": "307-234-4585",
            "fax_number": "307-265-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEAUTIFUL YOU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-262-7787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CASPER",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CASPER",
            "address_1": "1129 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "country_code": "US",
            "postal_code": "826012903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.