Advanced Body & Laser, Inc.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

ADVANCED BODY & LASER, INC.

Practice address

115 N Akers St
Visalia, CA 93291-5122

Phone

(559) 636-0808

NPI assigned

Mar 1, 2023

Last updated

Jun 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lesa Shows

Title

Secretary

Phone

(559) 280-1164

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1841999596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915122",
            "telephone_number": "559-636-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915122",
            "telephone_number": "559-636-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 W Acequia Ave Ste 1D&2C",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932916162",
            "country_code": "US",
            "telephone_number": "559-636-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED BODY & LASER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "SHOWS",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "559-280-1164"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Women's Health Nurse Practitioner in Visalia, CA
• Providers in Visalia, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.