Active NPI
Marie Angelique
- Prosthetic/Orthotic Supplier
- Saint Charles, MO
National Provider Identifier
1134565971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.