Organization Active NPI

New Life Aesthetics P.a.

  • Clinic/Center
  • Raleigh, NC
National Provider Identifier
1629518832
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
NP APPROVAL 5006230 Issued in NC
Legal business name
NEW LIFE AESTHETICS P.A.
Practice address
2091 W Millbrook Rd
Studio 125
Raleigh, NC 27612-6332
Phone
(919) 521-8282
NPI assigned
Mar 7, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Mrs. Meredith Lynn Harris, ARNPNPI 1598948002
Title
Owner, Nurse Practitioner
Phone
(919) 521-8282

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NP APPROVAL 5006230 NC Primary

Addresses

Primary practice location

2091 W Millbrook Rd
Studio 125
Raleigh, NC 27612-6332

Mailing address

2308 Filigree CT
Raleigh, NC 27614-8325
Phone (919) 521-8282

National Provider Directory

National Provider Directory

Locations

2091 W Millbrook Rd
#125
Raleigh, NC 27612
Phone (919) 521-8282

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1629518832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 FILIGREE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148325",
            "telephone_number": "919-521-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 W MILLBROOK RD",
            "address_2": "STUDIO 125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126332",
            "telephone_number": "919-521-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE AESTHETICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "919-521-8282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "NP APPROVAL 5006230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.