Nich'K Beauty RX

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NICH'K BEAUTY RX

Practice address

4909 Raleigh Street #7
Orlando, FL 32811

Phone

(407) 758-5885

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Kenisha Wallace

Title

Owner

Phone

(407) 758-5885

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1508462359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 CONROY WINDERMERE RD UNIT 3397",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865158",
            "telephone_number": "407-758-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 RALEIGH STREET #7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32811",
            "telephone_number": "407-758-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICH'K BEAUTY RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "KENISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-758-5885"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4077585885",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "address_1": "9300 Conroy Windermere Rd Unit 3397",
            "city": "Windermere",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347865158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vy Thuy Nguyen, CNM
• Allen Ni
• Lucille Arlene Nibbs-James, M.S.
• Kiefanie Nibbs, LMHC
• Bobby Nibhanupudy, MD
• Nicholas G. Bagnoli DO PA
• Nicholas Le OD LLC
• Brooke Ashlyn Nicholas, DNP
• Irene Nicholas
• Natacha M Nicholas

• Prosthetic/Orthotic Supplier in Orlando, FL
• Providers in Orlando, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.