Organization Active NPI

Boujie Couture Salon

  • Prosthetic/Orthotic Supplier
  • Baton Rouge, LA
National Provider Identifier
1346957636
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BOUJIE COUTURE SALON
Doing business as
Boujie Tress Rx
Practice address
743 Madeline CT Ste 102
Baton Rouge, LA 70815-1146
Phone
(225) 888-3904
Fax
(225) 907-9559
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Martha Latasha GriffinNPI 1336966134
Title
Cranial Prosthesis Specialist
Phone
(225) 888-3904

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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

743 Madeline CT Ste 102
Baton Rouge, LA 70815-1146

Mailing address

743 Madeline CT Ste 102
Baton Rouge, LA 70815-1146
Phone (225) 888-3904

Other names 1

  • Boujie Tress Rx Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2259079559

National Provider Directory

National Provider Directory

Locations

743 Madeline Ct
Ste 102
Baton Rouge, LA 70815
Phone (225) 888-3904

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": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1346957636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 MADELINE CT STE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708151146",
            "telephone_number": "225-888-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 MADELINE CT STE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708151146",
            "telephone_number": "225-888-3904",
            "fax_number": "225-907-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUJIE COUTURE SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LATASHA",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "225-888-3904"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2259079559",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "743 Madeline Ct Ste 102",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708151146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boujie Tress Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.