Individual provider Active NPI

Gysanda Parker-Byrd, HAIR LOSS SPECIALIST

  • Prosthetics Case Management
  • Fayetteville, NC
National Provider Identifier
1225627201
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
C78842 Issued in NC
Practice address
846 Elm St Ste E
Fayetteville, NC 28303-4167
Phone
(720) 608-3880
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X C78842 NC Primary

Addresses

Primary practice location

846 Elm St Ste E
Fayetteville, NC 28303-4167

Mailing address

16881 Birdie CT
Wagram, NC 28396-8003
Phone (910) 587-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C78842NCMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Tress Connoisseurs Hair Extension Company, L.L.C Prosthetics Case Management CurrentSince Oct 1, 2023 Accepting new patients

Locations

833 Elm St
Fayetteville, NC 28303

846 Elm St
Ste E
Fayetteville, NC 28303
Phone (720) 608-3880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1225627201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16881 BIRDIE CT",
            "city": "WAGRAM",
            "state": "NC",
            "postal_code": "283968003",
            "telephone_number": "910-587-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 ELM ST STE E",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034167",
            "telephone_number": "720-608-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-BYRD",
        "first_name": "GYSANDA",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NC",
            "license": "C78842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.