NPIMap

Organization Active NPI

K&T Raw Hair Collection

  • Prosthetic/Orthotic Supplier
  • Tampa, FL
National Provider Identifier
1255998159
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
K&T RAW HAIR COLLECTION
Doing business as
Refreshed Locs
Practice address
5104 Country Side Dr
Tampa, FL 33624-2013
Phone
(813) 403-3906
NPI assigned
May 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Keturha ReeseNPI 1144785692
Title
Ceo
Phone
(813) 403-3906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

5104 Country Side Dr
Tampa, FL 33624-2013

Mailing address

5104 Country Side Dr
Tampa, FL 33624-2013
Phone (813) 403-3906

Other names 1

  • Refreshed Locs Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1255998159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 COUNTRY SIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242013",
            "telephone_number": "813-403-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 COUNTRY SIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242013",
            "telephone_number": "813-403-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&T RAW HAIR COLLECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "KETURHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-403-3906"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refreshed Locs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Refreshed Locs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.