Organization Active NPI

Skin & Aesthetics TN

Doing business as The Skin and Aesthetics Clinic

  • Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1801589627
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SKIN & AESTHETICS TN
Doing business as
The Skin and Aesthetics Clinic
Practice address
315 N Washington Ave Ste 265
Cookeville, TN 38501-2697
Phone
(931) 260-0327
NPI assigned
May 29, 2023
Last updated
May 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Authorized official

Name
Blakelee Paige Smith, NURSE PRACTITIONER
Title
Owner
Phone
(931) 260-0327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

315 N Washington Ave Ste 265
Cookeville, TN 38501-2697

Mailing address

315 N Washington Ave Ste 265
Cookeville, TN 38501-2697
Phone (931) 260-0327

Other names 1

  • The Skin and Aesthetics Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1801589627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE STE 265",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012697",
            "telephone_number": "931-260-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE STE 265",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012697",
            "telephone_number": "931-260-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN & AESTHETICS TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BLAKELEE",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-260-0327",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Skin and Aesthetics Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.