Advanced Healthy Hair

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ADVANCED HEALTHY HAIR

Practice address

2211 Edgewater Dr Ste 12
Orlando, FL 32804-5319

Phone

(407) 490-2990

NPI assigned

Sep 23, 2021

Organization subpart

No

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

Authorized official

Name

Lynette Teasley

Title

Owner

Phone

(407) 201-1518

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1083385751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 PISA DR APT 1425",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102153",
            "telephone_number": "407-201-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EDGEWATER DR STE 12",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045319",
            "telephone_number": "407-490-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHY HAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "TEASLEY",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-201-1518"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019005700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Orlando, FL
• Providers in Orlando, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.