MONIQUE RENEE WIGS AND ETC (NPI# 1356858971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356858971 |
| Entity Type | Organization |
| Organization Name | MONIQUE RENEE WIGS AND ETC |
| Practice Address |
12123 Blue Ridge Ext Ste C Grandview MO 64030-1194 |
| Practice Telephone | 8164992233 |
| Mailing Telephone | 8164992233 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Authorized Official Name | ERICKA LEWIS (CERTIFIED HAIRLOSS SPECIALIST) |
| Authorized Official Telephone | 8163080132 |
| Authorized Official Credential | CERTIFIED HAIRLO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
12123 BLUE RIDGE EXT STE C |
| City | GRANDVIEW |
| State | MO |
| Zip Code | 64030-1194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477039402 | Garrett Wayne Nicol | Physical Therapist | 7201 E 147th St Ste 120, Grandview, MO 64030 | 2018-07-12 |
| 1235631771 | Rashida Balqees | Family Medicine | 13013 Fuller Ave A, Grandview, MO 64030 | 2018-03-01 |
| 1659890721 | Job One Careers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12604 E 3rd Street, Grandview, MO 64030 | 2017-09-11 |
| 1144766080 | Megan Little | Naturopath | 12817 Crystal Ave, Grandview, MO 64030 | 2017-01-17 |
| 1578925095 | Heart of America Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 4338 E 142nd St, Grandview, MO 64030 | 2016-03-23 |
| 1568856888 | Barbara Lynn Cavanaugh | Nurse Practitioner | 13013 Fullerave, Suite A, Grandview, MO 64030 | 2015-03-25 |
| 1225478886 | Essential Developments L.L.C. | Day Training, Developmentally Disabled Services | 14908 Grand Summit Blvd Apt 202, Grandview, MO 64030 | 2013-06-27 |
| 1154685956 | Colin Tollerton Smith Jr. | Dentist | 13051 S Hwy 71, Grandview, MO 64030 | 2012-06-27 |
| 1841448750 | Concentra Health Services, Inc. | Clinic/Center | 12220 A S Blueridge Blvd., Grand View, MO 64030 | 2008-09-04 |
| 1295919363 | American Current Care PC | Clinic/Center | 12220a South Blueridge Blvd., Grandview, MO 64030 | 2007-12-24 |
| Find all providers in zip 64030 | ||||
| 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 |
|---|---|---|---|---|
| 1497355689 | Hair On The Edge | Prosthetic/Orthotic Supplier | 9708 Lackland Rd, Overland, MO 63114-3414 | 2020-10-28 |
| 1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
| 1437783776 | Mager & Gougelman of St. Louis, LLC | Prosthetic/Orthotic Supplier | 1034 S Brentwood Blvd Ste 1880, Richmond Heights, MO 63117-1218 | 2020-02-25 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1407496201 | Ortheco LLC | Prosthetic/Orthotic Supplier | 2907 Independence St Ste D, Cape Girardeau, MO 63703-5027 | 2020-01-09 |
| 1477100717 | Desirae Clark | Prosthetic/Orthotic Supplier | 5100 Lydia Ave, Kansas City, MO 64110-2608 | 2019-08-21 |
| 1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
| 1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
| 1215400312 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4801 Main St Ste 220, Kansas City, MO 64112-2929 | 2019-01-10 |
| 1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
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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.