Organization Active NPI

Sexy-N-Lace

  • Prosthetic/Orthotic Supplier
  • Acworth, GA
National Provider Identifier
1194043380
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SEXY-N-LACE
Practice address
4230 Etowah Dr SE
Acworth, GA 30102-3108
Phone
(678) 516-2157
Fax
(866) 249-3717
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Ms. Bridget Reynolds Reynolds
Title
Owner
Phone
(678) 516-2157

Specialties & licenses 1

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

Addresses

Primary practice location

4230 Etowah Dr SE
Acworth, GA 30102-3108

Mailing address

4230 Etowah Drive SE
Acworth, GA 30102-3108
Phone (678) 516-2157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1194043380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 ETOWAH DRIVE SE",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301023108",
            "telephone_number": "678-516-2157",
            "fax_number": "866-249-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 ETOWAH DR SE",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301023108",
            "telephone_number": "678-516-2157",
            "fax_number": "866-249-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEXY-N-LACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-516-2157",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.