Rose Beauty Bar

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

ROSE BEAUTY BAR

Practice address

1502 Tiny Town Rd
Clarksville, TN 37042-8087

Phone

(931) 645-4270

NPI assigned

Aug 21, 2020

Organization subpart

No

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

Authorized official

Name

Markeisha Iaquita Wardell

Title

Owner / Stylist

Phone

(931) 591-8501

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Markeisha Laquita Wardell

  • Prosthetic/Orthotic Supplier
  • Clarksville, TN
  • NPI 1649898818
  NPD

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1336751122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 TINY TOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428087",
            "telephone_number": "931-645-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 TINY TOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428087",
            "telephone_number": "931-645-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE BEAUTY BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "MARKEISHA",
        "authorized_official_middle_name": "IAQUITA",
        "authorized_official_title_or_position": "OWNER / STYLIST",
        "authorized_official_telephone_number": "931-591-8501"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.facebook/beautybartn",
            "affiliation": "N",
            "endpointDescription": "facebook",
            "address_1": "1502 Tiny Town Rd",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370428087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sydney Katherine Roosa, PHARMD
• Janna Sallade Roper, CPNP
• Julie Ann Rosado - Osborne
• Anasofia Rocha Rosas
• Victoria Rosca Lewis
• Kyanne Rose, PT
• Ross Behavioral Group
• Ross Farms Dentistry, PC
• Charlotte Ross
• Donna Ross, ED.S

• Prosthetics Case Management in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Prosthetics Case Management in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.