Organization Active NPI

Fran'S Nu Image, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Waldorf, MD
National Provider Identifier
1114108032
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
08195359 Issued in MD
Legal business name
FRAN'S NU IMAGE, INC.
Practice address
11705 Berry Road
The Barley Building , Suite 303
Waldorf, MD 20603-5933
Phone
(301) 843-9282
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mari-Frances Quade, CMF
Title
Owner/Certified Fitter
Phone
(301) 843-9282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 08195359 MD Primary

Addresses

Primary practice location

11705 Berry Road
The Barley Building , Suite 303
Waldorf, MD 20603-5933

Mailing address

PO Box 995
Waldorf, MD 20604-0995
Phone (301) 843-9282

Other identifiers 1

IdentifierTypeStateIssuer
409268600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930016256 MD DME Supplier - Medical Supply Company With Prosthetic Personnel 3779695598 Practice locations: Waldorf, MD

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Frans Nu Image, Inc11705 Berry Rd, Waldorf, MD 20603-5933(301) 843-9282 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Mar 22, 2001

National Provider Directory

National Provider Directory

Locations

11705 Berry Rd
Ste 303
Waldorf, MD 20603
Phone (301) 843-9282

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114108032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 995",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206040995",
            "telephone_number": "301-843-9282",
            "fax_number": "301-645-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 BERRY ROAD",
            "address_2": "THE BARLEY BUILDING , SUITE 303",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035933",
            "telephone_number": "301-843-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAN'S NU IMAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "QUADE",
        "authorized_official_first_name": "MARI-FRANCES",
        "authorized_official_title_or_position": "OWNER/CERTIFIED FITTER",
        "authorized_official_telephone_number": "301-843-9282",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "08195359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409268600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.