Organization Active NPI

Cuttupndyed

  • Prosthetics Case Management
  • Smithfield, VA
National Provider Identifier
1043604366
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
CUTTUPNDYED
Practice address
14110 Burwells Bay Rd
Smithfield, VA 23430-3711
Phone
(443) 453-7889
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Alyssia Cassandra Edwards, CERTIFIED HAIR LOSSNPI 1528453248
Title
Specialist
Phone
(443) 453-7889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

14110 Burwells Bay Rd
Smithfield, VA 23430-3711

Mailing address

14110 Burwells Bay Rd
Smithfield, VA 23430-3711
Phone (443) 453-7889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1043604366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 BURWELLS BAY RD",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234303711",
            "telephone_number": "443-453-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 BURWELLS BAY RD",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234303711",
            "telephone_number": "443-453-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTUPNDYED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ALYSSIA",
        "authorized_official_middle_name": "CASSANDRA",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "443-453-7889",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.