Organization Active NPI

Steppin Out Shoes & Accessories

  • Customized Equipment (DME)
  • West Memphis, AR
National Provider Identifier
1306071337
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.