Active NPI
Fran'S Nu Image, Inc.
- Durable Medical Equipment & Medical Supplies
- Waldorf, MD
National Provider Identifier
1114108032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 08195359
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409268600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016256 | MD | DME Supplier - Medical Supply Company With Prosthetic Personnel | 3779695598 | Practice locations: Waldorf, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Frans Nu Image, Inc | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.