Beautique Salon

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

KK482064 Issued in CA

Legal business name

BEAUTIQUE SALON

Practice address

1186 S 2ND St
San Jose, CA 95112-5914

Phone

(408) 460-8070

NPI assigned

Dec 22, 2017

Last updated

Dec 22, 2017By 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. Sharelle Nicole Loudd, CERTIFIED HAIR-LOSSNPI 1255847653

Title

Ceo

Phone

(408) 460-8070

Specialties & licenses 1

Addresses

Locations

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.

• Sharelle Nicole Loudd, CERTIFIED HAIR-LOSS

  • Prosthetics Case Management
  • San Jose, CA
  • NPI 1255847653
  NPD (past) Authorized official

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513900800000",
    "number": "1952817272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 S 2ND ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125914",
            "telephone_number": "408-460-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 S 2ND ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125914",
            "telephone_number": "408-460-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIQUE SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A",
        "authorized_official_last_name": "LOUDD",
        "authorized_official_first_name": "SHARELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-460-8070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFIED HAIR-LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "KK482064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bleriana Myftiu Beatty, AMFT
• Julie M Beatty, L.P.T.
• Leon Frederick Beauchman
• Francis Beaudry, CMT
• Paul Norman Beaupre, MD
• Amanda Beaver
• Richard Beaver, PH.D.
• Cruz Becerra
• Daniela Becerra
• Eva Maria Becerra

• Prosthetics Case Management in San Jose, CA
• Providers in San Jose, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.