Kelanda Purvis, SPECIALIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

1914468 Issued in TX

Practice address

2201 W Stan Schuluter Loop
Suite a-400
Killeen, TX 76549

Phone

(254) 629-0064

NPI assigned

Apr 13, 2023

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Perfect Image Beauty Bar LLC

  • Specialist
  • Killeen, TX
  • NPI 1942998265
  NPD

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1790471746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 YAUPON RD APT B",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765227952",
            "telephone_number": "254-629-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W STAN SCHULUTER LOOP",
            "address_2": "SUITE A-400",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-629-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "KELANDA",
        "credential": "SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1914468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Pundt, D.D.S.
• Wayne Ervin Pundt, D.D.S
• Emily Purcell, M.A., SLP
• Quianna Jazmone Purham
• Shawn K Puri, M.D.
• Sierra Purvis
• Simone Pushruk, RBT
• Erin Pyne
• Quality Medical Transport
• Kiersten Michelle Quan

• Specialist in Killeen, TX
• Providers in Killeen, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.