Organization Active NPI

Fabulously Made Salon, LLC

  • Prosthetics Case Management
  • Tampa, FL
National Provider Identifier
1962905182
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
FABULOUSLY MADE SALON, LLC
Practice address
8909 Regents Park Dr Ste 415
Tampa, FL 33647-3432
Phone
(813) 444-3229
NPI assigned
Mar 14, 2018
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Johanna Y AmaranteNPI 1154829711
Title
Hair Loss Specialist
Phone
(813) 444-3229

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

8909 Regents Park Dr Ste 415
Tampa, FL 33647-3432

Mailing address

8909 Regents Park Dr Ste 415
Tampa, FL 33647-3432
Phone (813) 444-3229

National Provider Directory

National Provider Directory
Tax ID family
Fabulously Made Salon LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8913 Regents Park Dr
Ste 620
Tampa, FL 33647

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": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1962905182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 REGENTS PARK DR STE 415",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473432",
            "telephone_number": "813-444-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 REGENTS PARK DR STE 415",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473432",
            "telephone_number": "813-444-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABULOUSLY MADE SALON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "AMARANTE",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "813-444-3229"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.