Active NPI
Mary Hayes
- Prosthetic/Orthotic Supplier
- Visalia, CA
National Provider Identifier
1235714338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 1130 W Murray Ave
Visalia, CA 93291-4718 - Phone
- (559) 627-9447
- Fax
- (559) 409-2891
- NPI assigned
- Mar 10, 2021
- Last updated
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary | ||
| Mastectomy Fitter | 224900000X | CFM03439 | CA |
Addresses
Primary practice location
1130 W Murray Ave
Visalia, CA 93291-4718
Mailing address
1130 W Murray Ave
Visalia, CA 93291-4718
Phone (596) 279-4475
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 |
|---|---|---|---|
| CFM03439 | CA | MD | Mastectomy Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hayes | Mastectomy Fitter | Current | Accepting new patients |
Locations
1130 W Murray Ave
Visalia, CA 93291
Phone (559) 627-9447
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Thriving Wigs and Prosthetics
- Prosthetic/Orthotic Supplier
- Visalia, CA
- NPI 1912779810
Mastectomy Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1235714338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 W MURRAY AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914718",
"telephone_number": "596-279-4475",
"fax_number": "559-409-2981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 W MURRAY AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914718",
"telephone_number": "559-627-9447",
"fax_number": "559-409-2891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
},
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "CA",
"license": "CFM03439",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.