Shalonda Nichole Beauty LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SHALONDA NICHOLE BEAUTY LLC

Practice address

17650 Possum Point Rd # C-6a
Dumfries, VA 22026-2674

Phone

(202) 810-3593

Fax

(800) 914-9740

NPI assigned

Dec 29, 2021

Last updated

Feb 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shalonda N Harris

Title

Cranial Prothesis Specialist

Phone

(202) 810-3593

Specialties & licenses 1

Addresses

Other names 1

• Shaluxe Tresses Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1790445856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 WORTH AVE # 1011",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561596",
            "telephone_number": "202-810-3593",
            "fax_number": "800-914-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 POSSUM POINT RD # C-6A",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262674",
            "telephone_number": "202-810-3593",
            "fax_number": "800-914-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALONDA NICHOLE BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHALONDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CRANIAL PROTHESIS SPECIALIST",
        "authorized_official_telephone_number": "202-810-3593"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "18009149740",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "address_1": "17650 Possum Point Rd # C-6A",
            "city": "Dumfries",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220262674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shaluxe Tresses",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shaluxe Tresses",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.