Organization Active NPI

Bjutiful Soul

  • Prosthetics Case Management
  • Charlotte, NC
National Provider Identifier
1922647874
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
BJUTIFUL SOUL
Practice address
8510 McAlpine Park Dr Ste 209
Charlotte, NC 28211-6250
Phone
(980) 494-0011
NPI assigned
Dec 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Kjuana DiggsNPI 1841839792
Title
Manager
Phone
(704) 961-8218

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
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

8510 McAlpine Park Dr Ste 209
Charlotte, NC 28211-6250

Mailing address

12830 English Walnut LN
Charlotte, NC 28215-5027
Phone (704) 961-8218

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@bjutifulsoul.com

National Provider Directory

National Provider Directory

Locations

8510 McAlpine Park Dr
Ste 209
Charlotte, NC 28211
Phone (980) 494-0011

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1922647874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 ENGLISH WALNUT LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155027",
            "telephone_number": "704-961-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 MCALPINE PARK DR STE 209",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282116250",
            "telephone_number": "980-494-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJUTIFUL SOUL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "DIGGS",
        "authorized_official_first_name": "KJUANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-961-8218"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@bjutifulsoul.com",
            "affiliation": "N",
            "address_1": "8510 McAlpine Park Dr Ste 209",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282116250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.