Active NPI
Jessraw Beauty
- Prosthetic/Orthotic Supplier
- Atlanta, GA
National Provider Identifier
1417667809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- JESSRAW BEAUTY
- Doing business as
- jessRAW Beauty RX
- Practice address
- 1253 Caroline St NE Ste 110
Atlanta, GA 30307-2759 - Phone
- (678) 769-3399
- NPI assigned
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Betterson
- Title
- Owner
- Phone
- (678) 769-3399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1253 Caroline St NE Ste 110
Atlanta, GA 30307-2759
Mailing address
386 Sherwood Cir SE
Conyers, GA 30094-4355
Phone (678) 769-3399
Other names 1
- jessRAW Beauty RX
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxhair@jessraw.com |
National Provider Directory
National Provider DirectoryLocations
1253 Caroline St NE
Ste 110
Atlanta, GA 30307
Phone (678) 769-3399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1417667809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 SHERWOOD CIR SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300944355",
"telephone_number": "678-769-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 CAROLINE ST NE STE 110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303072759",
"telephone_number": "678-769-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSRAW BEAUTY",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "BETTERSON",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-769-3399"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxhair@jessraw.com",
"affiliation": "N",
"endpointDescription": "Business email",
"address_1": "1253 Caroline St NE Ste 110",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303072759",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "jessRAW Beauty RX",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 28, 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.