Organization Active NPI

Elegant Styles by Tia

  • Durable Medical Equipment & Medical Supplies
  • Virginia Beach, VA
National Provider Identifier
1619567526
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELEGANT STYLES BY TIA
Practice address
5347 Lila LN
Virginia Beach, VA 23464-6783
Phone
(757) 201-5442
NPI assigned
Jan 25, 2021
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Amber McCrayNPI 1821522715
Title
Medical Assistant
Phone
(706) 403-2806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5347 Lila LN
Virginia Beach, VA 23464-6783

Mailing address

5347 Lila LN
Virginia Beach, VA 23464-6783
Phone (757) 201-5442

National Provider Directory

National Provider Directory

Locations

5347 Lila Ln
Virginia Beach, VA 23464
Phone (757) 201-5442

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1619567526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5347 LILA LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646783",
            "telephone_number": "757-201-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5347 LILA LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646783",
            "telephone_number": "757-201-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT STYLES BY TIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "706-403-2806"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.