True Radiance Medispa

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

1891822391 Issued in NC

Legal business name

TRUE RADIANCE MEDISPA

Practice address

800 Tiffany Blvd Ste 100B
Rocky Mount, NC 27804-1807

Phone

(252) 969-0025

NPI assigned

Jul 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Llamado Yap, DO

Title

Provider

Phone

(252) 969-0025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1851733976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TIFFANY BLVD STE 100B",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041807",
            "telephone_number": "252-969-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TIFFANY BLVD STE 100B",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041807",
            "telephone_number": "252-969-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE RADIANCE MEDISPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "YAP",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LLAMADO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "252-969-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "1891822391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.