Active NPI
That Special Woman Inc.
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
National Provider Identifier
1336192541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THAT SPECIAL WOMAN INC.
- Practice address
- 2461 N Reynolds Rd
Toledo, OH 43615-2850 - Phone
- (419) 536-6206
- Fax
- (419) 536-6211
- NPI assigned
- May 18, 2006
- 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
- Kristin Ann Beard
- Title
- President
- Phone
- (419) 536-6206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2461 N Reynolds Rd
Toledo, OH 43615-2850
Mailing address
2461 N Reynolds Rd
Toledo, OH 43615-2850
Phone (419) 536-6206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0920301 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930073578 | OH | DME Supplier - Medical Supply Company | 9133247125 | Practice locations: Toledo, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| That Special Woman Inc | Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2461 N Reynolds Rd
Toledo, OH 43615
Phone (419) 536-6206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1336192541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2461 N REYNOLDS RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436152850",
"telephone_number": "419-536-6206",
"fax_number": "419-536-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2461 N REYNOLDS RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436152850",
"telephone_number": "419-536-6206",
"fax_number": "419-536-6211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THAT SPECIAL WOMAN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "BEARD",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-536-6206"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0920301",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.