Organization Active NPI

Confidently Crowned LLC

  • Customized Equipment (DME)
  • Winter Park, FL
National Provider Identifier
1083254460
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CONFIDENTLY CROWNED LLC
Doing business as
Confidently Crowned LLC
Practice address
4270 Aloma Ave
Winter Park, FL 32792-9424
Phone
(407) 906-4738
Fax
(888) 588-1831
NPI assigned
Jan 13, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Shella Katty CharlotNPI 1477024040
Title
Owner
Phone
(407) 914-4451

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
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

4270 Aloma Ave
Winter Park, FL 32792-9424

Mailing address

PO Box 489
Ocoee, FL 34761-0489
Phone (407) 914-4451

Other names 1

  • Confidently Crowned LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4270 Aloma Ave
Winter Park, FL 32792
Phone (321) 788-2777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1083254460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347610489",
            "telephone_number": "407-914-4451",
            "fax_number": "888-588-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929424",
            "telephone_number": "407-906-4738",
            "fax_number": "888-588-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENTLY CROWNED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "CHARLOT",
        "authorized_official_first_name": "SHELLA",
        "authorized_official_middle_name": "KATTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-914-4451"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confidently Crowned LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.