Organization Active NPI

Marie Angelique

  • Prosthetic/Orthotic Supplier
  • Saint Charles, MO
National Provider Identifier
1134565971
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MARIE ANGELIQUE
Practice address
220 N Main St
Saint Charles, MO 63301-2829
Phone
(636) 949-2348
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Naomi Fitzpatrick
Title
Owner
Phone
(636) 949-2348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

220 N Main St
Saint Charles, MO 63301-2829

Mailing address

220 N Main St
Saint Charles, MO 63301-2829
Phone (636) 949-2348

Other names 1

  • Marie Angelique Bra and Lingerie Doing business as

National Provider Directory

National Provider Directory

Locations

220 N Main St
Saint Charles, MO 63301
Phone (636) 949-2348

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1134565971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012829",
            "telephone_number": "636-949-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012829",
            "telephone_number": "636-949-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE ANGELIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-949-2348"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marie Angelique Bra and Lingerie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.