Beauty Mark Med Spa PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BEAUTY MARK MED SPA PLLC

Practice address

5151 Meadow Ranch Pkwy Ste 301
Richmond, TX 77407-0174

Phone

(802) 347-3747

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chika Odili

Title

Owner

Phone

(802) 347-3747

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1386549798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MEADOW RANCH PKWY STE 301",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774070174",
            "telephone_number": "802-347-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MEADOW RANCH PKWY STE 301",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774070174",
            "telephone_number": "802-347-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY MARK MED SPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "ODILI",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-347-3747"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.