First Lady the Specialy Shop for Women Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FIRST LADY THE SPECIALY SHOP FOR WOMEN INC

Practice address

6515 Clinton Hwy Ste 110
Knoxville, TN 37912-1104

Phone

(888) 899-8881

Fax

(888) 606-4866

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Collin Donoghue

Title

VP/GM

Phone

(888) 899-8881

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Positively Beautiful Boutique & Gifts Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Abco Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1003126848

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1114085974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 TRANE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196052",
            "telephone_number": "865-240-0098",
            "fax_number": "888-606-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 CLINTON HWY STE 110",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121104",
            "telephone_number": "888-899-8881",
            "fax_number": "888-606-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LADY THE SPECIALY SHOP FOR WOMEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "DONOGHUE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "VP/GM",
        "authorized_official_telephone_number": "888-899-8881"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4091915",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positively Beautiful Boutique & Gifts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.