Organization Active NPI

Mermaid Permanent Cosmetics LLC

  • Specialist
  • Moyock, NC
National Provider Identifier
1801369004
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MERMAID PERMANENT COSMETICS LLC
Practice address
380 Caratoke Hwy Ste D
Moyock, NC 27958-8623
Phone
(252) 232-8035
NPI assigned
Jan 10, 2019
Last updated
Jan 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Julie Christian, CPDA
Title
President
Phone
(252) 232-8035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

380 Caratoke Hwy Ste D
Moyock, NC 27958-8623

Mailing address

380 Caratoke Hwy Ste D
Moyock, NC 27958-8623
Phone (252) 232-8035

National Provider Directory

National Provider Directory

Locations

380 Caratoke Hwy
#D
Moyock, NC 27958
Phone (252) 232-8035

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1801369004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CARATOKE HWY STE D",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588623",
            "telephone_number": "252-232-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CARATOKE HWY STE D",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588623",
            "telephone_number": "252-232-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAID PERMANENT COSMETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-232-8035",
        "authorized_official_credential": "CPDA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moyock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.