Active NPI
Hair Image and Expressions
- Prosthetics Case Management
- Tarboro, NC
National Provider Identifier
1548672017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- C68563
- Legal business name
- HAIR IMAGE AND EXPRESSIONS
- Practice address
- 1516 Saint Andrew St
Tarboro, NC 27886-2534 - Phone
- (252) 885-7695
- NPI assigned
- Jun 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Loretta Rana Hilliard, COS/ ESTHECTICIAN
- Title
- Cosmetologist/ Hair Replacemet Spec
- Phone
- (252) 885-7695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | C68563 | NC | Primary |
Addresses
Primary practice location
1516 Saint Andrew St
Tarboro, NC 27886-2534
Mailing address
1516 Saint Andrew St
Tarboro, NC 27886-2534
Phone (252) 885-7695
National Provider Directory
National Provider DirectoryLocations
1516 Saint Andrew St
Tarboro, NC 27886
Phone (252) 885-7695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401667200000",
"number": "1548672017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 SAINT ANDREW ST",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862534",
"telephone_number": "252-885-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 SAINT ANDREW ST",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862534",
"telephone_number": "252-885-7695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAIR IMAGE AND EXPRESSIONS",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-02",
"last_updated": "2014-06-02",
"status": "A",
"authorized_official_last_name": "HILLIARD",
"authorized_official_first_name": "LORETTA",
"authorized_official_middle_name": "RANA",
"authorized_official_title_or_position": "COSMETOLOGIST/ HAIR REPLACEMET SPEC",
"authorized_official_telephone_number": "252-885-7695",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "COS/ ESTHECTICIAN"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": "C68563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.