SECOND TO NATURE MASTECTOMY BOUTIQUE


Address: 500 State St Unit A, Greensboro, NC 27405-5659
Phone: 3362742003

SECOND TO NATURE MASTECTOMY BOUTIQUE (NPI# 1316128747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316128747
Entity Type Organization
Organization Name SECOND TO NATURE MASTECTOMY BOUTIQUE
Practice Address 500 State St Unit A
Greensboro
NC 27405-5659
Mailing Address Po Box 7968
Greensboro
NC 27417-0968
Practice Telephone 3362742003
Practice Fax Number 3362742052
Mailing Telephone 3362742003
Mailing Fax Number 3362742052
Enumeration Date 2007-11-14
Last Update Date 2011-05-23
Authorized Official Name RAMONA RAE HERTZELL (OWNER)
Authorized Official Telephone 3362742003
Authorized Official Credential CFM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier 600186564 NC Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7702598 05
NC BCBS 0360A 01

Office Location

Street Address 500 STATE ST UNIT A
City GREENSBORO
State NC
Zip Code 27405-5659

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477038727 Miya Jackson Behavior Technician 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 2018-10-02
1821576299 Woodrow Eric Bradley Day Training/Habilitation Specialist 1403 Woocbriar Ave, Greensboro, NC 27405 2018-07-30
1922593094 Constance Foushee Nurse Practitioner 1100 E. Wendover, Greensboro, NC 27405 2018-06-29
1760972434 Ayana Linette Holland Home Health Aide 1417 Old Hickory Dr, Greensboro, NC 27405 2018-05-17
1790294700 G. Antoine Gray Specialist 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 2017-09-21
1306375910 Wendy Carisa Boger Registered Nurse 1100 East Wendover Avenue, Greensboro, NC 27405 2017-06-07
1659827715 Changing Paths Counseling Center Pllc Community/Behavioral Health 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 2016-08-29
1295187896 Amanda Kirby Counseling, PC Counselor 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 2016-07-07
1780049429 Pta Residential Treatment Facility, Physical Disabilities 1900 Sheldon Road, Greensboro, NC 27405 2015-12-23
1841655644 Amaya Nicole Hardy Counselor 1600r E Wendover Ave Ste R, Greensboro, NC 27405 2015-12-21
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457521833 Gate City Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 1209 Magnolia St, Unit B, Greensboro, NC 27401-1308 2008-03-03
1992781587 Bio-tech Prosthetics and Orthotics, Inc Prosthetic/Orthotic Supplier 2301 N Church St, Greensboro, NC 27405-4309 2005-12-16
1205222643 Level Four Orthotics & Prosthetics Inc Prosthetic/Orthotic Supplier 1103 N Elm St, Suite 201, Greensboro, NC 27401-6309 2015-04-13
1548661127 Guilford Orthotic & Prosthetic, Inc. Prosthetic/Orthotic Supplier 405 Parkway, Suite G, Greensboro, NC 27401-1657 2014-09-15
1114210218 Second To Nature Boutique, LLC Prosthetic/Orthotic Supplier 500 State St, Unit A, Greensboro, NC 27405-5659 2011-05-23
1356506125 Rick Dean Puckett Prosthetic/Orthotic Supplier 377 S Swing Rd, Greensboro, NC 27409-2009 2008-07-22
1629247317 Randy Johnson Prosthetic/Orthotic Supplier 405 Parkway, Suite G, Greensboro, NC 27401-1308 2008-02-27
1689894321 Carolina Bone & Joint Pa Prosthetic/Orthotic Supplier 1331 N Elm St, Suite 300, Greensboro, NC 27401-6302 2007-04-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659970770 Survivor Friendly LLC Prosthetic/Orthotic Supplier 527 Keisler Dr Ste 104, Cary, NC 27518-9306 2020-10-20
1154920395 Anderson Prosthetics & Orthotics, LLC Prosthetic/Orthotic Supplier 307 W Tremont Ave Ste 200, Charlotte, NC 28203-4902 2020-10-20
1528666195 Skyland Prosthetics & Orthotics Inc Prosthetic/Orthotic Supplier 1141 Tunnel Rd Ste E, Asheville, NC 28805-2037 2020-10-15
1982202545 Davidson Prosthetics & Orthotics Prosthetic/Orthotic Supplier 845 Church St N Ste 205, Concord, NC 28025-4374 2020-10-15
1891301156 Tys Cranial Prothesis Prosthetic/Orthotic Supplier 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 2020-09-21
1124645882 The Royal Stich By Melinda Prosthetic/Orthotic Supplier 8032 Black Forest Ln Apt 10103, Charlotte, NC 28277-6746 2020-06-29
1073134573 Diva Salon By Veronica Ashley, Inc. Prosthetic/Orthotic Supplier 10901 University City Blvd Ste 108, Charlotte, NC 28213-9300 2020-05-06
1841819711 Sc&f Enterprises, LLC Prosthetic/Orthotic Supplier 2187 Skibo Rd, Fayetteville, NC 28314-0264 2020-04-10
1457986499 Lala Lashes Charlotte Prosthetic/Orthotic Supplier 2434 Shad Ct, Charlotte, NC 28208-3307 2020-03-10
1871125237 Elite Hair Replacement Inc Prosthetic/Orthotic Supplier 2110 Fort Bragg Rd Ste 112, Fayetteville, NC 28303-7036 2020-02-04
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Competitor

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City GREENSBORO
Zip Code 27405

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Dataset Information

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.

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