Organization Active NPI

Beautifully at Home LLC

  • Family Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1699369926
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BEAUTIFULLY AT HOME LLC
Doing business as
Beautifully At Home
Practice address
13866 Symington Pkwy NW
Bremerton, WA 98312-9657
Phone
(360) 471-9368
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Ms. Sandra Louise Walker, APRN
Title
Owner/Authorized Official
Phone
(360) 471-9368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

13866 Symington Pkwy NW
Bremerton, WA 98312-9657

Mailing address

13866 Symington Pkwy NW
Bremerton, WA 98312-9657
Phone (360) 471-9368

Other names 1

  • Beautifully At Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1699369926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13866 SYMINGTON PKWY NW",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983129657",
            "telephone_number": "360-471-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13866 SYMINGTON PKWY NW",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983129657",
            "telephone_number": "360-471-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFULLY AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "360-471-9368",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautifully At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.