Active NPI
Uplifted LLC
- Prosthetic/Orthotic Supplier
- Raleigh, NC
National Provider Identifier
1134490337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- UPLIFTED LLC
- Practice address
- 3900 Barrett Dr
Suite 208
Raleigh, NC 27609-6641 - Phone
- (919) 803-8985
- NPI assigned
- Jan 19, 2012
- 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
- Mrs. Amanda C Tommerson, CFM
- Title
- Owner
- Phone
- (919) 622-6068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
3900 Barrett Dr
Suite 208
Raleigh, NC 27609-6641
Mailing address
6905 Sandringham Dr
Raleigh, NC 27613-4052
Phone (919) 622-6068
Other names 1
- Uplifted
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326931200000",
"number": "1134490337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6905 SANDRINGHAM DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276134052",
"telephone_number": "919-622-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 BARRETT DR",
"address_2": "SUITE 208",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096641",
"telephone_number": "919-803-8985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPLIFTED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A",
"authorized_official_last_name": "TOMMERSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-622-6068",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CFM"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Uplifted",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.