Organization Active NPI

Simply Beautiful Skincare and Bodywork,LLC

  • Health Service Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1326549478
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SIMPLY BEAUTIFUL SKINCARE AND BODYWORK,LLC
Practice address
14281 Potomac Mills Rd # 103
Woodbridge, VA 22192-6805
Phone
(703) 781-0188
NPI assigned
Feb 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Ms. Jerri L CarrNPI 1558728386
Title
Owner
Phone
(703) 781-0188

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
Health Service Clinic/Center 261QH0100X VA Primary

Addresses

Primary practice location

14281 Potomac Mills Rd # 103
Woodbridge, VA 22192-6805

Mailing address

5623 Spriggs Meadow Dr
Woodbridge, VA 22193-6217
Phone (703) 944-7388

National Provider Directory

National Provider Directory

Locations

14281 Potomac Mills Rd
#103
Woodbridge, VA 22192
Phone (703) 781-0188

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": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1326549478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 SPRIGGS MEADOW DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221936217",
            "telephone_number": "703-944-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14281 POTOMAC MILLS RD # 103",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926805",
            "telephone_number": "703-781-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY BEAUTIFUL SKINCARE AND BODYWORK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-781-0188",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.