Laser Aesthetics Body and Wellness

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

APN0000021037 Issued in TN

Legal business name

LASER AESTHETICS BODY AND WELLNESS

Practice address

9755 Highway 64
Suite 101
Arlington, TN 38002-8579

Phone

(901) 388-8887

Fax

(901) 388-8208

NPI assigned

May 3, 2017

Last updated

May 3, 2017By 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

Martina Ashmore, NPNPI 1821459942

Title

Owner

Phone

(901) 388-8887

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martina Ashmore

  • Family Nurse Practitioner
  • Arlington, TN
  • NPI 1821459942
  NPD (past) Authorized official

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1477089910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 HIGHWAY 64",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380028579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 HIGHWAY 64",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380028579",
            "telephone_number": "901-388-8887",
            "fax_number": "901-388-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER AESTHETICS BODY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "ASHMORE",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-388-8887",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TN",
            "license": "APN0000021037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Arlington, TN
• Providers in Arlington, TN by specialty
• Point of Service in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.