Radiant Esthetics LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RADIANT ESTHETICS LLC

Practice address

208 Bellevue Ave Ste C
Newport, RI 02840-3515

Phone

(401) 848-0022

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Jana Magarian

Title

Owner

Phone

(401) 714-7679

Specialties & licenses 1

Addresses

Other names 1

• Radiant Esthetics LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1497577613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 STANDISH RD",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028351289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BELLEVUE AVE STE C",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403515",
            "telephone_number": "401-848-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT ESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MAGARIAN",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-714-7679"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Esthetics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Provident Pain and Wellness Clinic
• Amy Marjory Putnam, NP
• Leah Quackenbush, RN
• Quest Diagnostics Incorporated
• Alexandra Quick, DPT
• Eric B Radler, M.D.
• Joseph Aaron Raftevold, DMD
• Michael Robert Ragosta, MS, RD
• Athalia Faith Sadie Ralph
• Donna Marie Ramos, LMHC

• Family Nurse Practitioner in Newport, RI
• Providers in Newport, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.