Organization Active NPI

Beauty Sleep Anesthesia, LLC

  • Health Service Clinic/Center
  • Stuart, FL
National Provider Identifier
1760189062
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BEAUTY SLEEP ANESTHESIA, LLC
Practice address
2750 S Kanner Hwy
Stuart, FL 34994-4815
Phone
(772) 370-9791
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Kiera Dicicco, APRN
Title
Owner
Phone
(772) 320-9791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2750 S Kanner Hwy
Stuart, FL 34994-4815

Mailing address

2750 S Kanner Hwy
Stuart, FL 34994-4815
Phone (772) 370-9791

Other names 1

  • Beauty Sleep Anesthesia, LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2274484Beauty Sleep Anesthesia LLC2750 S Kanner Highway, Stuart, FL 34994Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory

Locations

2750 S Kanner Hwy
Stuart, FL 34994
Phone (772) 329-9791

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1760189062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944815",
            "telephone_number": "772-370-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944815",
            "telephone_number": "772-370-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY SLEEP ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "DICICCO",
        "authorized_official_first_name": "KIERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-320-9791",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauty Sleep Anesthesia, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.