Pretty Lace Collection, LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

PRETTY LACE COLLECTION, LLC

Practice address

901 NW 8TH Ave Ste B5-1
Gainesville, FL 32601-5011

Phone

(352) 745-8404

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Amanda HendersonNPI 1205580586

Title

Owner

Phone

(352) 219-1661

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Henderson, MBA

  • Prosthetics Case Management
  • Gainesville, FL
  • NPI 1205580586
  NPD Authorized official

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1184381691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NW 8TH AVE STE B5-1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015011",
            "telephone_number": "352-745-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW 8TH AVE STE B5-1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015011",
            "telephone_number": "352-745-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETTY LACE COLLECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-219-1661"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Presnell
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• Michael F Presti, M.D, PH.D
• Prestige Home Care SVCS.
• Cynthia L. Preston, M.D.
• Preventive Medicine Ctr of Gainesville Inc
• Catherine E Price, PHD
• Cathy Jeanne Price, LCSW
• Danielle Tennille Price, D.D.S
• Derrick Price

• Prosthetics Case Management in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.