Active NPI
Steppin Out Shoes & Accessories
- Customized Equipment (DME)
- West Memphis, AR
National Provider Identifier
1306071337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- STEPPIN OUT SHOES & ACCESSORIES
- Practice address
- 1985 Kroger Dr
Suite A3
West Memphis, AR 72301-1771 - Phone
- (870) 732-3364
- Fax
- (870) 732-3364
- NPI assigned
- May 19, 2009
- Last updated
- May 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Warlear Deshon Garrett
- Title
- Owner
- Phone
- (901) 691-4805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NU | Primary |
Addresses
Primary practice location
1985 Kroger Dr
Suite A3
West Memphis, AR 72301-1771
Mailing address
1985 Kroger Dr
Suite A3
West Memphis, AR 72301-1771
Phone (870) 732-3364
National Provider Directory
National Provider DirectoryLocations
1985 Kroger Dr
Ste 3A
West Memphis, AR 72301
Phone (870) 732-3364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242691200000",
"number": "1306071337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 KROGER DR",
"address_2": "SUITE A3",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723011771",
"telephone_number": "870-732-3364",
"fax_number": "870-732-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 KROGER DR",
"address_2": "SUITE A3",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723011771",
"telephone_number": "870-732-3364",
"fax_number": "870-732-3364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPPIN OUT SHOES & ACCESSORIES",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "WARLEAR",
"authorized_official_middle_name": "DESHON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-691-4805",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.