New Hair, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NEW HAIR, LLC

Practice address

1445 North Road
Unit #1
Green Bay, WI 54313-5725

Phone

(920) 393-4912

NPI assigned

Jan 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey Marie Nellen-Kolze, CMFNPI 1477892412

Title

Owner/Member

Phone

(920) 393-4912

Specialties & licenses 1

Addresses

Other names 1

• Nell's Wigs and Boutique Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey M Nellen-Kolze

  • Prosthetic/Orthotic Supplier
  • Green Bay, WI
  • NPI 1477892412
  NPD Authorized official

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1013289743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 NORTH ROAD",
            "address_2": "UNIT 1",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135725",
            "telephone_number": "920-393-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NORTH ROAD",
            "address_2": "UNIT #1",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135725",
            "telephone_number": "920-393-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "NELLEN-KOLZE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "920-393-4912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nell's Wigs and Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nell's Wigs and Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Prosthetic/Orthotic Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.