Organization Active NPI

Med Beauty by Therese LLC

Doing business as Safe Space medical clinic

  • Primary Care Clinic/Center
  • Chalmette, LA
National Provider Identifier
1720940638
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MED BEAUTY BY THERESE LLC
Doing business as
Safe Space medical clinic
Practice address
8541 Victory Dr
Chalmette, LA 70043-1125
Phone
(504) 265-4545
NPI assigned
Nov 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Whitney Jones, FNP-CNPI 1336886597
Title
Family Nurse Practitioner/Owner
Phone
(504) 265-4545

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8541 Victory Dr
Chalmette, LA 70043-1125

Mailing address

8541 Victory Dr
Chalmette, LA 70043-1125

Other practice location 1

1080 Moorewood Ln SE
Smyrna, GA 30080-1992
Phone (504) 265-4545

Other names 1

  • Safe Space medical clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260330001748 LA Part B Supplier - Clinic/Group Practice 0143705095 Receives reassigned benefits from 1 practitioner
Practice locations: Chalmette, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1764374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1720940638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 VICTORY DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 VICTORY DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431125",
            "telephone_number": "504-265-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Moorewood Ln SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300801992",
            "country_code": "US",
            "telephone_number": "504-265-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MED BEAUTY BY THERESE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-29",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "504-265-4545",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Space medical clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.