NPIMap

Organization Active NPI

Bliss Aesthetics Medical Spa LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Hobbs, NM
National Provider Identifier
1831817758
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
BLISS AESTHETICS MEDICAL SPA LLC
Practice address
2919 N Cliffwood Cir
Hobbs, NM 88240-2573
Phone
(575) 318-1068
NPI assigned
Aug 16, 2022
Organization subpart
Yes
Parent organization
BLISS WOMEN'S HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Mrs. Miranda Lee Young, FNPNPI 1629540588
Title
Owner
Phone
(575) 318-1068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083B0002X Primary

Addresses

Primary practice location

2919 N Cliffwood Cir
Hobbs, NM 88240-2573

Mailing address

2919 N Cliffwood Cir
Hobbs, NM 88240-2573
Phone (575) 318-1068

Other practice location 1

2919 N Cliffwood Cir
Hobbs, NM 88240-2573
Phone (575) 318-1068

Other names 2

  • Bliss Aesthetics Med Spa Doing business as
  • Bliss Wellness & Weight Management Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Bliss Women'S Health LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1831817758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 N CLIFFWOOD CIR",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402573",
            "telephone_number": "575-318-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 N CLIFFWOOD CIR",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402573",
            "telephone_number": "575-318-1068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 N Cliffwood Cir",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882402573",
            "country_code": "US",
            "telephone_number": "575-318-1068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLISS AESTHETICS MEDICAL SPA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLISS WOMEN'S HEALTH LLC",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-318-1068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2919 N Cliffwood Cir",
            "city": "Hobbs",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882402573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bliss Aesthetics Med Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bliss Wellness & Weight Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.