DIVA SALON BY VERONICA ASHLEY, INC. (NPI# 1073134573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073134573 |
| Entity Type | Organization |
| Organization Name | DIVA SALON BY VERONICA ASHLEY, INC. |
| Practice Address |
10901 University City Blvd Ste 108 Charlotte NC 28213-9300 |
| Mailing Address |
1400 Kirk Farm Ln Apt 107 Charlotte NC 28213-4032 |
| Practice Telephone | 7046016021 |
| Mailing Telephone | 7047137130 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | VERONICA WILLIAMS (OWNER) |
| Authorized Official Telephone | 7047137130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DUNS | 025858851 | 01 |
| Street Address |
10901 UNIVERSITY CITY BLVD STE 108 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28213-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1447743331 | April Neville | Counselor | 2442 Ryerson Ct, Charlotte, NC 28213 | 2018-06-14 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1861939118 | Nensi Pandya | Pharmacist | 10227 University City Blvd, Charlotte, NC 28213 | 2017-01-25 |
| 1952721458 | Morgan Washington | Specialist/Technologist | 2336 Comfrey Court, Charlotte, NC 28213 | 2014-04-23 |
| 1992132393 | Midway Healthcare | Home Health | 6003 Dovetree Lane Suite D, Charlotte, NC 28213 | 2013-09-30 |
| 1932445178 | Zachary Gachogu Kariuki | Counselor | 10417 Round Leaf Drive, Charlotte, NC 28213 | 2012-12-17 |
| 1962747675 | Crystal Cherie Simmons | Counselor | 13724 Riding Hill Ave, Charlotte, NC 28213 | 2012-12-06 |
| Find all providers in zip 28213 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920395 | Anderson Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 307 W Tremont Ave Ste 200, Charlotte, NC 28203-4902 | 2020-10-20 |
| 1124645882 | The Royal Stich By Melinda | Prosthetic/Orthotic Supplier | 8032 Black Forest Ln Apt 10103, Charlotte, NC 28277-6746 | 2020-06-29 |
| 1457986499 | Lala Lashes Charlotte | Prosthetic/Orthotic Supplier | 2434 Shad Ct, Charlotte, NC 28208-3307 | 2020-03-10 |
| 1770142390 | Kenney Orthopedics of Monroe, LLC | Prosthetic/Orthotic Supplier | 3816 Latrobe Dr Ste 103, Charlotte, NC 28211-1167 | 2019-06-07 |
| 1699331934 | Lakeata Johnson | Prosthetic/Orthotic Supplier | 2070 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4056 | 2019-05-13 |
| 1033773999 | Danielle Santiago-cofield | Prosthetic/Orthotic Supplier | 9611 Seamill Rd, Charlotte, NC 28278-8008 | 2019-04-26 |
| 1083189211 | Next Step Prosthetics LLC | Prosthetic/Orthotic Supplier | 2826 Randolph Rd Ste 201, Charlotte, NC 28211-1386 | 2018-10-03 |
| 1104350420 | Jerzeygirlhair Salon | Prosthetic/Orthotic Supplier | 8746 Arborcreek Dr, Charlotte, NC 28269-0542 | 2017-04-13 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1215215132 | Mid Atlantic Prosthetics East, LLC | Prosthetic/Orthotic Supplier | 6008 Old Pineville Rd Ste B, Charlotte, NC 28217-4137 | 2011-07-26 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.