Shonda Wigs Refining Boutique LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHONDA WIGS REFINING BOUTIQUE LLC.

Practice address

2105 10TH St
Lake Charles, LA 70601-6537

Phone

(337) 244-2933

NPI assigned

Feb 10, 2025

Last updated

Feb 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shonda Renee Gobert, COSMETOLOGIST

Title

Owner

Phone

(337) 244-2933

Specialties & licenses 2

Addresses

Other names 1

• Shonda Wigs Refining Boutique LLC. Former legal business name

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1093520835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 10TH ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016537",
            "telephone_number": "337-244-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 10TH ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016537",
            "telephone_number": "337-244-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 10th St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706016537",
            "country_code": "US",
            "telephone_number": "337-244-2933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHONDA WIGS REFINING BOUTIQUE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "GOBERT",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-244-2933",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shonda Wigs Refining Boutique LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mary H Sherk, MD
• Shianne Syed, M. Ed, LPC, NCC, LLC
• Richard Thomas Shimer, MD
• Shantell Shinnette
• Amanda Shoemake
• Shondra L Smith, MD Dermatology & Advanced Aesthetics, LLC (Dermatology and Advanced Aesthetics, LLC)
• Courtney Michelle Short-Prudhomme
• Morgan Rae Short, APRN, ANP-C
• Ronald Michael Short, DDS
• Cynthia B Shrewsberry, LPC, LMFT, NCC

• Durable Medical Equipment & Medical Supplies in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.