Organization Active NPI

The Beauty Antidote CLT, LLC

  • Prosthetist
  • Cornelius, NC
National Provider Identifier
1821998501
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
THE BEAUTY ANTIDOTE CLT, LLC
Practice address
9127 Washam Potts Rd
Cornelius, NC 28031-6107
Phone
(980) 680-7557
NPI assigned
Nov 6, 2026
Last updated
Nov 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Authorized official

Name
Cassandra Parker
Title
Owner
Phone
(980) 680-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

9127 Washam Potts Rd
Cornelius, NC 28031-6107

Mailing address

9127 Washam Potts Rd
Cornelius, NC 28031-6107
Phone (980) 680-7557

NPI Registry JSON

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793923200000",
    "number": "1821998501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 WASHAM POTTS RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316107",
            "telephone_number": "980-680-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 WASHAM POTTS RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316107",
            "telephone_number": "980-680-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEAUTY ANTIDOTE CLT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-680-7557"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.