Bodacious Beauty Barr LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BODACIOUS BEAUTY BARR LLC

Practice address

319 E Madison St Ste 4J
Springfield, IL 62701-3135

Phone

(217) 775-4190

NPI assigned

Jan 24, 2026

Last updated

Jun 3, 2026By 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

Mrs. Marilyn Garnet Ware

Title

Paramedical Tattoo Recovery Artist

Phone

(217) 341-5832

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1769212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1891644753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N HILL ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024510",
            "telephone_number": "217-848-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E MADISON ST STE 4J",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627013135",
            "telephone_number": "217-775-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODACIOUS BEAUTY BARR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "GARNET",
        "authorized_official_title_or_position": "PARAMEDICAL TATTOO RECOVERY ARTIST",
        "authorized_official_telephone_number": "217-341-5832",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Board of Trustees of Southern Illinois University (SIU Center for Family Medicine - Springfield)
• Board of Trustees of Southern Illinois University (SIU Center for Family Medicine - GIM Salvation Army)
• Board of Trustees of Southern Illinois University (SIU Center for Family Medicine - Integrated Wellness Center)
• Board of Trustees of Southern Illinois University (Noll Medical Pavilion Clinic)
• Cathy L. Boatright, L.C.P.C.
• Ashley L. Bodine, NP-C
• Patricia Body
• Ginger P. Boehler, NP
• Leah Boente, PT, DPT, CERT. MDT.
• Mallory Boente, PT, DPT

• Specialist in Springfield, IL
• Providers in Springfield, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.