Her Cranial Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

HER CRANIAL PROSTHETICS

Practice address

6803 Old Alexandria Ferry Rd
Clinton, MD 20735-1744

Phone

(202) 743-4602

Fax

(202) 217-2644

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Shakeita Boyd

Title

Owner

Phone

(202) 743-4602

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1356014146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 DELANO RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351829",
            "telephone_number": "202-400-9129",
            "fax_number": "202-217-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 OLD ALEXANDRIA FERRY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351744",
            "telephone_number": "202-743-4602",
            "fax_number": "202-217-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER CRANIAL PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "SHAKEITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-743-4602",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2022172644",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "6803 Old Alexandria Ferry Rd",
            "city": "Clinton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207351744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Preston Alexandra Heitstuman
• Sharice N Hendrickson
• Flor Del Carmen Henriquez Gonzalez
• Her Abilities, Inc.
• Her Behavioral Health L.L.C.
• Victor E Herry
• Hicare Home Health Care LLC
• Brenda Hill, FNP
• Annette Hines, M.S. CCC-SLP
• Dana Hinesly, PA-C

• Prosthetic/Orthotic Supplier in Clinton, MD
• Providers in Clinton, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.