Organization Active NPI

Butterfly Boutique, LLC

  • Prosthetic/Orthotic Supplier
  • Shreveport, LA
National Provider Identifier
1053623157
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
C49850 Issued in LA
Legal business name
BUTTERFLY BOUTIQUE, LLC
Practice address
1950 E 70TH St
Suite G
Shreveport, LA 71105-5345
Phone
(318) 798-5991
Fax
(318) 798-5992
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Cherie Byers
Title
Vice President of Operations
Phone
(318) 798-5991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X C49850 LA Primary

Addresses

Primary practice location

1950 E 70TH St
Suite G
Shreveport, LA 71105-5345

Mailing address

1950 E 70TH St Ste G
Shreveport, LA 71105-5345
Phone (318) 798-5991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101215000896 LA DME Supplier - Medical Supply Company 8628266715 Practice locations: Shreveport, LA

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
Butterfly Boutique1950 E 70TH St, Shreveport, LA 71105-5345(318) 798-5991 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Oct 6, 2010

National Provider Directory

National Provider Directory

Locations

1950 E 70th St
Ste G
Shreveport, LA 71105
Phone (318) 798-5991

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1053623157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E 70TH ST STE G",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055345",
            "telephone_number": "318-798-5991",
            "fax_number": "318-798-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E 70TH ST",
            "address_2": "SUITE G",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055345",
            "telephone_number": "318-798-5991",
            "fax_number": "318-798-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLY BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "318-798-5991"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "C49850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.