NPIMap

Individual provider Active NPI

Anchala Prasad

  • Mastectomy Fitter
  • Hastings, NE
National Provider Identifier
1013340926
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
CFM02737 Issued in NE
Practice address
223 E 14TH St
Suite 5
Hastings, NE 68901-3200
Phone
(402) 461-4931
Fax
(402) 461-4932
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X CFM02737 NE Primary

Addresses

Primary practice location

223 E 14TH St
Suite 5
Hastings, NE 68901-3200

Mailing address

223 E 14TH St
Suite 5
Hastings, NE 68901-3200
Phone (402) 461-4931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CFM02737NEMDMastectomy Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Prosthetics & Orthotics Past Accepting new patients
Innovative Prosthetics & Orthotics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1013340926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST",
            "address_2": "SUITE 5",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013200",
            "telephone_number": "402-461-4931",
            "fax_number": "402-461-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST",
            "address_2": "SUITE 5",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013200",
            "telephone_number": "402-461-4931",
            "fax_number": "402-461-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "ANCHALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "NE",
            "license": "CFM02737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.