The Good Wife Lingerie LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE GOOD WIFE LINGERIE LLC

Doing business as

The Good Wife House of Lingerie & Mastectomy Boutique

Practice address

107 E Main St
Glasgow, KY 42141-2835

Phone

(615) 440-3264

NPI assigned

Mar 12, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Dawn Burton, CMFNPI 1184350274

Title

Ceo, Owner

Phone

(615) 440-3264

Specialties & licenses 1

Addresses

Other names 1

• The Good Wife House of Lingerie & Mastectomy Boutique Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These 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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Dawn Burton, CFM

  • Mastectomy Fitter
  • Glasgow, KY
  • NPI 1184350274
  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1336907443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412835",
            "telephone_number": "615-440-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412835",
            "telephone_number": "615-440-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD WIFE LINGERIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "615-440-3264",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Good Wife House of Lingerie & Mastectomy Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Good Wife House of Lingerie & Mastectomy Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tank Chiropractic LLC
• Thomas Jeffery Tank, D.C.
• Tracy L. Taylor, APRN
• Terry W Durham OD PSC
• Antoinette Ann Tharrett, APRN
• Theraspeak
• Aundrea L Thomas, LCSW
• Emily Thomas
• Hannah Thomas
• Katie Nicole Thomas, DPT

• Durable Medical Equipment & Medical Supplies in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.

Verify at the official NPI Registry.