Organization Active NPI

Crimson Beauty Salon LLC

  • Prosthetist
  • Atlanta, GA
National Provider Identifier
1295328961
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
CRIMSON BEAUTY SALON LLC
Practice address
144 Moreland Ave NE Ste 18
Atlanta, GA 30307-2659
Phone
(678) 481-3896
NPI assigned
Feb 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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

Authorized official

Name
Traci Yvonne Burton, HLP
Title
Owner
Phone
(678) 481-3896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

144 Moreland Ave NE Ste 18
Atlanta, GA 30307-2659

Mailing address

2295 Shady Dr
Morrow, GA 30260-3131
Phone (678) 481-3896

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address traci.burton@salonlofts.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613260800000",
    "number": "1295328961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 SHADY DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603131",
            "telephone_number": "678-481-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MORELAND AVE NE STE 18",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072659",
            "telephone_number": "678-481-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIMSON BEAUTY SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-481-3896",
        "authorized_official_credential": "HLP"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "traci.burton@salonlofts.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "144 Moreland Ave NE Ste 18",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303072659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.