Alicia Nicole Landress

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

107 E Marion Ave
North Augusta, SC 29841-2935

Phone

(803) 426-8092

NPI assigned

Feb 19, 2024

Last updated

Sep 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Nouveau Hair and Wigs LLC

  • Oxygen Equipment & Supplies (DME)
  • North Augusta, SC
  • NPI 1932919545
  NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1033974910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 ORIOLE AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413118",
            "telephone_number": "803-426-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MARION AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412935",
            "telephone_number": "803-426-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRESS",
        "first_name": "ALICIA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Knotts
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• Jeffrey David Kozlowski, OD
• Jerry A Lambert, MD
• Jessica Lamborn
• Amanda Lantz, PTA
• Laurel Smoak Physical Therapy, LLC
• Johanna Kristen Lawhon, OTR/L
• Michele Lawhorn, CRNA
• Jeremy Leaf, DNP,FNP-BC

• Durable Medical Equipment & Medical Supplies in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.