Bougie Chic Beauty Bar and Aesthetics

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BOUGIE CHIC BEAUTY BAR AND AESTHETICS

Practice address

674 N University Dr # 35
Pembroke Pines, FL 33024-6738

Phone

(954) 440-5326

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By 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

Colleen Johnson, NPNPI 1649957895

Title

Nurse Practitioner

Phone

(954) 440-5326

Specialties & licenses 1

Addresses

Tax ID family

Bougie Chic Beauty Bar and Aesthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Calmar Health

  • General Practice Physician
  • Homestead, FL
  • NPI 1689500886
  NPD tax ID

Locations

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.

• Colleen L Johnson, ARRN

  • Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1649957895
  NPD Authorized official

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1588493753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 N UNIVERSITY DR # 35",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246738",
            "telephone_number": "954-440-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 N UNIVERSITY DR # 35",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246738",
            "telephone_number": "954-440-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUGIE CHIC BEAUTY BAR AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "954-440-5326",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolyn Borroto Figueras
• Daile Bortner, APRN
• Karen M Bosia, CNM ARNP
• Jordan Botknecht
• Carolina Bou
• Boulevard Dental Associates, LLC
• Michel Bourgeois, LMT
• Adriana Bovee, LMHC
• Sara Bowden, PT, DPT
• Eve Mandisa Rader Bowers, MD

• Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.