Active NPI
Pink Ribbon Reflections, LLC
- Durable Medical Equipment & Medical Supplies
- Washington, MO
National Provider Identifier
1164594750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PINK RIBBON REFLECTIONS, LLC
- Practice address
- 851 E 5TH St Ste 108
Washington, MO 63090-3128 - Phone
- (636) 239-8633
- NPI assigned
- Nov 15, 2006
- Last updated
- Aug 22, 2020
- 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
- Michelle R Dolley, CMF
- Title
- Certified Mastectomy Fitter
- Phone
- (636) 583-4181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
851 E 5TH St Ste 108
Washington, MO 63090-3128
Mailing address
25 Lindsey Dr
Union, MO 63084-2087
Phone (636) 583-4181
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthetics Case Management
- Union, MO
- NPI 1992877906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164594750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LINDSEY DR",
"city": "UNION",
"state": "MO",
"postal_code": "630842087",
"telephone_number": "636-583-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 E 5TH ST STE 108",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903128",
"telephone_number": "636-239-8633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINK RIBBON REFLECTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOLLEY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CERTIFIED MASTECTOMY FITTER",
"authorized_official_telephone_number": "636-583-4181",
"authorized_official_credential": "CMF"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.