Active NPI
Butterfly Boutique, LLC
- Prosthetic/Orthotic Supplier
- Shreveport, LA
National Provider Identifier
1053623157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- C49850
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101215000896 | LA | DME Supplier - Medical Supply Company | 8628266715 | Practice locations: Shreveport, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Butterfly Boutique | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.