Organization Active NPI

365 Beauty & Aesthetics LLC

Doing business as Fierce Aesthetics

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1659118339
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Sarah Elizabeth Kavalauskas, APRNNPI 1982093696
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.