Beauty & Wellness Boutiq

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BEAUTY & WELLNESS BOUTIQ

Doing business as

Beauty & Wellness Med Spa

Practice address

14846 Tamiami TRL
North Port, FL 34287-2701

Phone

(813) 409-6931

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Lisa Richards, APRNNPI 1619589348

Title

Owner

Phone

(813) 409-6931

Specialties & licenses 1

Addresses

Other names 1

• Beauty & Wellness Med Spa Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Joy Richards, APRN

  • Nurse Practitioner
  • North Port, FL
  • NPI 1619589348
  NPD Authorized official

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1972330017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4578 N BISCAYNE DR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342917081",
            "telephone_number": "813-409-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14846 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872701",
            "telephone_number": "813-409-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY & WELLNESS BOUTIQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-409-6931",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauty & Wellness Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annika Barton
• Elena Bashkareva
• Beacon Respiratory Services, Inc. (Alliance Oxygen & Medical Equipment)
• Kama Beasley
• Trystan J Beasley
• Christian J Becker, DMD
• Bee You Psychiatry and Therapy Services PLLC
• Esenbike Bek, MD
• Alexis Belcher
• Nadin Belizaire, RBT

• Multi-Specialty Clinic/Center in North Port, FL
• Providers in North Port, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.