NPIMap

Organization Active NPI

Revamped Beauty

  • Customized Equipment (DME)
  • Birmingham, AL
National Provider Identifier
1619429685
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
REVAMPED BEAUTY
Practice address
2714 Ensley 5 Points W Ave
Birmingham, AL 35218-2853
Phone
(205) 478-7518
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Brittney Bass-GrayNPI 1568852572
Title
Founder
Phone
(205) 478-7518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1744P3200X
Voluntary or Charitable Agency 251V00000X
Customized Equipment (DME) 332BC3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

2714 Ensley 5 Points W Ave
Birmingham, AL 35218-2853

Mailing address

1024 Kerry Dr
Calera, AL 35040-5512
Phone (205) 478-7518

Other names 1

  • Revamped Beauty Hair Loss Solutions Other name

National Provider Directory

National Provider Directory

Locations

429 Green Springs Hwy
#161352
Birmingham, AL 35209

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1619429685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 KERRY DR",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350405512",
            "telephone_number": "205-478-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 ENSLEY 5 POINTS W AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352182853",
            "telephone_number": "205-478-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVAMPED BEAUTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "BASS-GRAY",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "205-478-7518"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revamped Beauty Hair Loss Solutions",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Revamped Beauty Hair Loss Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.