Modern Silhouette

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MODERN SILHOUETTE

Doing business as

Modern Silhouette

Practice address

9500 Kenwood Rd
Blue Ash, OH 45242-6180

Phone

(513) 254-6620

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Veniece Hughes

Title

Owner

Phone

(513) 254-6620

Specialties & licenses 1

Addresses

Other names 1

• Modern Silhouette Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veniece Lynette Dickerson

  • Phlebology Physician
  • Blue Ash, OH
  • NPI 1205694684
  NPD

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1528826963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 WELCH LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403537",
            "telephone_number": "513-254-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426180",
            "telephone_number": "513-254-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN SILHOUETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "VENIECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-254-6620"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Silhouette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Mitzlaff, LPCA
• Lindsay Mixell, SLP
• MLK Associates, Inc.
• Mobility Fit Physical Therapy LLC
• Mockingbird Counseling, LLC
• Kimberly L Molnar, LPC
• Sara Kaigh Molony, CT
• Momba Home Care Ohio, LLC
• Nadege Mondesir
• Danazia Renay Monroe

• Clinic/Center in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.