Organization Active NPI

Jessraw Beauty

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1417667809
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Nov 28, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxhair@jessraw.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.