Sticks on the Go LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

STICKS ON THE GO LLC

Practice address

4910 26TH St E Apt 202
Bradenton, FL 34203-4945

Phone

(941) 300-2090

Fax

(786) 441-2360

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Shakeshia C Parrimon

Title

MGR

Phone

(941) 300-2090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1275154221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 S WASHINGTON BLVD # 293",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342366943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 26TH ST E APT 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034945",
            "telephone_number": "941-300-2090",
            "fax_number": "786-441-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STICKS ON THE GO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "PARRIMON",
        "authorized_official_first_name": "SHAKESHIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "941-300-2090"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Stewart, RN
• Daniel Allen Stewart, DMD
• Dina Maria Stewart, LMT
• Jordan Stewart, MA, CCC-SLP
• Marie Stewart, DPT
• Maria Reva Stiles, OTR/L, CLT
• Stephen E Stiles, PA-C
• Stephen Michael Still
• Mary E. Stinson, LMHC
• Robert Anthonly Stipanov, PA

• Health Service Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.