NPIMap

Organization Active NPI

Whboutique Inc.

  • Durable Medical Equipment & Medical Supplies
  • Plano, TX
National Provider Identifier
1013268747
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000993 Issued in TX
Legal business name
WHBOUTIQUE INC.
Practice address
3115 W Parker Rd
Suite 270
Plano, TX 75023-8129
Phone
(972) 985-4477
Fax
(972) 596-3898
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Vicki D Jones, CMF, COF
Title
Owner / Manager
Phone
(903) 758-9904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000993 TX Primary

Addresses

Primary practice location

3115 W Parker Rd
Suite 270
Plano, TX 75023-8129

Mailing address

605 N 6TH St
Longview, TX 75601-6606
Phone (903) 758-9904

Other identifiers 2

IdentifierTypeStateIssuer
533962OtherTXBCBSTX
3495830-01MedicaidTX

Other names 1

  • Women's Health Boutique Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140107001373 TX DME Supplier - Medical Supply Company 9032347679 Practice locations: Plano, TX

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Women'S Health Boutique3115 W Parker Rd, Plano, TX 75023-8129(972) 985-4477 Pneumatic Compression Devices and/or Supplies|Breast Prostheses and/or Accessories|Surgical Dressings|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2014

National Provider Directory

National Provider Directory
Tax ID family
Whboutique Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

510 E Loop 281
Ste A
Longview, TX 75605
Phone (903) 236-0886

3115 W Parker Rd
Ste 270
Plano, TX 75023
Phone (972) 985-4477

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1013268747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016606",
            "telephone_number": "903-758-9904",
            "fax_number": "903-236-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 W PARKER RD",
            "address_2": "SUITE 270",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750238129",
            "telephone_number": "972-985-4477",
            "fax_number": "972-596-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHBOUTIQUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "903-758-9904",
        "authorized_official_credential": "CMF, COF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "533962",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3495830-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Women's Health Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.