Bettys Boutique

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

01885100002 Issued in NM

Legal business name

BETTYS BOUTIQUE

Practice address

1013 Pile St
Clovis, NM 88101-5940

Phone

(575) 762-1290

NPI assigned

Jan 29, 2008

Last updated

Jul 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Betty Rae SnipesNPI 1225192396

Title

Owner

Phone

(575) 762-1290

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, and the practitioner matching its NPPES authorized official.

• Betty Rae Snipes

  • Prosthetic/Orthotic Supplier
  • Clovis, NM
  • NPI 1225192396
  Authorized official Same address or phone

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1225215478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 PILE ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015940",
            "telephone_number": "575-762-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 PILE ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015940",
            "telephone_number": "575-762-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTYS BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SNIPES",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-762-1290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NM",
            "license": "01885100002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Benton
• Diane Tadano Bergin
• Marissa Joy Best, DMD
• Laurel Bettison
• Kendra Betts
• Heather Beverage
• Kara Rachelle Bible
• Haylee D Bildilli
• Bio-Medical Applications of New Mexico, Inc. (Fresenius Kidney Care Clovis High Plains)
• Bio-Medical Applications of New Mexico, Inc. (Plains Regional Dialysis Center)

• Customized Equipment (DME) in Clovis, NM
• Providers in Clovis, NM by specialty
• Customized Equipment (DME) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.