Nirvana Hair VA LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NIRVANA HAIR VA LLC

Practice address

10019 Jefferson Ave
Newport News, VA 23605-1044

Phone

(757) 254-7197

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Maree Newby-SandersNPI 1407455595

Title

President

Phone

(757) 254-7197

Specialties & licenses 1

Addresses

Other names 3

• My Custom Desire RX Doing business as
• Nirvana Hair RX Doing business as
• Nirvana Hair Studio Doing business as

Tax ID family

MD Hair Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nirvana Hair VA LLC

  • Durable Medical Equipment & Medical Supplies
  • Newport News, VA
  • NPI 1891683181
  NPD tax ID

Practitioners 1

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

• Maree Antonette Newby-Sanders, LMT

  • Massage Therapist
  • Newport News, VA
  • NPI 1407455595
  NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1669194064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051044",
            "telephone_number": "757-254-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10019 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051044",
            "telephone_number": "757-254-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA HAIR VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "NEWBY-SANDERS",
        "authorized_official_first_name": "MAREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-254-7197"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Custom Desire RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nirvana Hair RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nirvana Hair Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Nielsen, MD
• Kaiser Jacob Nieman, DO
• Shauna Pehlman Nienhaus, OTR
• Nihira Care Network LLC
• Erica R Nipper, CRNA
• Nirvana Hair VA LLC
• Mariama Mammie Nixon, DNP, MSN, ANP-BC
• Thompson Iwegbuna Nnaji, PHARMACIST
• Christina Noa
• Noel Taxi LLC

• Prosthetic/Orthotic Supplier in Newport News, VA
• Providers in Newport News, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.