AESTHETIC HAVEN — NPI 1306655253 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers

CMS-1500 Box 24J / 33a • NPI

1306655253

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363L00000X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner

Box 32 Service Location & ZIP+4

300 INDUSTRIAL WAY, FL 3, SUITE 4, ROOM 4, TIVERTON, RI, 02878-3133

✓ 9-Digit EDI 837 ZIP+4 (02878-3133)

Practice Phone & Referral Fax

(401) 535-6104

Fax: (401) 340-1885

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306655253 (AESTHETIC HAVEN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306655253` (NPI-2 Organization / Facility)
Provider / Legal Name	AESTHETIC HAVEN
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: `363L00000X` (Nurse Practitioner)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	300 INDUSTRIAL WAY, FL 3, SUITE 4, ROOM 4, TIVERTON, RI, 02878-3133
Practice Telephone / Fax	Tel: (401) 535-6104 \| Fax: (401) 340-1885
Administrative Mailing Address	300 INDUSTRIAL WAY, TIVERTON, RI, 02878-3133
Enumeration & Last Sync	Enumerated: 2025-01-06 \| CMS Record Updated: 2026-10-22
Authorized Official	SAMANTHA TURCOTTE (Owner/NP)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

300 INDUSTRIAL WAY, FL 3, SUITE 4, ROOM 4, TIVERTON, RI, 02878-3133

🗺️ Open in Google Maps 🏥 More Providers in TIVERTON

🔒 Are you AESTHETIC HAVEN? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (363L00000X)

What Does Taxonomy Code 363L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AESTHETIC HAVEN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`163WG0000X` — Registered Nurse, General Practice Plain English: Licensed & Credentialed Registered Nurse, General Practice	State: N/A \| License: `Verified` \| Primary: Secondary
`261QP2300X` — Clinic/Center, Primary Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: N/A \| License: `Verified` \| Primary: Secondary
`363LP0808X` — Nurse Practitioner, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health	State: N/A \| License: `Verified` \| Primary: Secondary
`363LP2300X` — Nurse Practitioner, Primary Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care	State: N/A \| License: `Verified` \| Primary: Secondary

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AESTHETIC HAVEN (NPI #1306655253)