Active NPI
Gysanda Parker-Byrd, HAIR LOSS SPECIALIST
- Prosthetics Case Management
- Fayetteville, NC
National Provider Identifier
1225627201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- C78842
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C78842 | NC | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tress Connoisseurs Hair Extension Company, L.L.C | Prosthetics Case Management | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- Fayetteville, NC
- NPI 1750153995
Prosthetics Case Management
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.