Organization Active NPI

Luxury by Nicole LLC

  • Specialist
  • Memphis, TN
National Provider Identifier
1669264529
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LUXURY BY NICOLE LLC
Practice address
472 North Watkins Ste 103
Memphis, TN 38104
Phone
(901) 461-3027
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Lesly Williams
Title
Ceo, Skin Therapist
Phone
(901) 461-3027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

472 North Watkins Ste 103
Memphis, TN 38104

Mailing address

757 S Prescott St
Memphis, TN 38111-4218
Phone (901) 461-3027

National Provider Directory

National Provider Directory

Locations

472 N Watkins St
Apt 103
Memphis, TN 38104
Phone (901) 461-3027

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1669264529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 S PRESCOTT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114218",
            "telephone_number": "901-461-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 NORTH WATKINS STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-461-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY BY NICOLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LESLY",
        "authorized_official_title_or_position": "CEO, SKIN THERAPIST",
        "authorized_official_telephone_number": "901-461-3027"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.