Chrysalis Clinic of Permanent Cosmetics

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

CHRYSALIS CLINIC OF PERMANENT COSMETICS

Practice address

3204 Smokey Point Dr
Arlington, WA 98223-8476

Phone

(360) 657-7040

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Ellen Rudy

Title

Owner

Phone

(360) 657-7040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1740054931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 SMOKEY POINT DR",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238476",
            "telephone_number": "360-657-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 SMOKEY POINT DR",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238476",
            "telephone_number": "360-657-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS CLINIC OF PERMANENT COSMETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "RUDY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-657-7040"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Chaus, MA, LMHC
• Drake Chaves, DPT
• Heng-Yu Jonathan CHI, LMHC
• Chiro One Wellness Center of Arlington PLLC
• Amanda Choong, DC
• Anthony Ifediora Chukwunta
• Jessica Cicoria, DO
• City of Arlington
• Clark Nursing LLC
• Denise Lorrayne Clark, RN, RND, BSN, CCRN

• Other Specialist/Technologist in Arlington, WA
• Providers in Arlington, WA by specialty
• Other Specialist/Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.