Active NPI
365 Beauty & Aesthetics LLC
Doing business as Fierce Aesthetics
- Family Nurse Practitioner
- Lima, OH
National Provider Identifier
1659118339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- 365 BEAUTY & AESTHETICS LLC
- Doing business as
- Fierce Aesthetics
- Practice address
- 2335 Baton Rouge
Lima, OH 45805-1129 - Phone
- (419) 905-6485
- NPI assigned
- Jul 10, 2024
- Last updated
- Jul 30, 2024
- 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
- Sarah Elizabeth Kavalauskas, APRN
- Title
- Ceo/Owner
- Phone
- (419) 956-1467
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2335 Baton Rouge
Lima, OH 45805-1129
Mailing address
825 Kemp Rd N
Lima, OH 45807-9480
Phone (419) 956-1467
Other names 1
- Fierce Aesthetics
National Provider Directory
National Provider DirectoryLocations
2335 Baton Rouge
Lima, OH 45805
Phone (419) 905-6485
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Nurse Practitioner
- Lima, OH
- NPI 1982093696
-
- Nurse Practitioner
- Lima, OH
- NPI 1366236572
-
- Family Nurse Practitioner
- Lima, OH
- NPI 1194473942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1659118339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 KEMP RD N",
"city": "LIMA",
"state": "OH",
"postal_code": "458079480",
"telephone_number": "419-956-1467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 BATON ROUGE",
"city": "LIMA",
"state": "OH",
"postal_code": "458051129",
"telephone_number": "419-905-6485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "365 BEAUTY & AESTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "KAVALAUSKAS",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "419-956-1467",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fierce Aesthetics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fierce Aesthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.