Organization Active NPI

Fully Confident Restwear Inc.

  • Durable Medical Equipment & Medical Supplies
  • Newport News, VA
National Provider Identifier
1386821072
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8863142008 Issued in VA
Legal business name
FULLY CONFIDENT RESTWEAR INC.
Practice address
603 J Clyde Morris Blvd
Suite #4
Newport News, VA 23601-1826
Phone
(757) 595-3488
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Mrs. Sherree Joyce Wilson, CEO/CFM
Title
Owner/ Fitter
Phone
(757) 595-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8863142008 VA Primary

Addresses

Primary practice location

603 J Clyde Morris Blvd
Suite #4
Newport News, VA 23601-1826

Mailing address

4417 Brent St
Suffolk, VA 23435-2528
Phone (757) 686-8338

National Provider Directory

National Provider Directory

Locations

603 J Clyde Morris Blvd
Ste 4
Newport News, VA 23601
Phone (704) 712-9071

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1386821072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 BRENT ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352528",
            "telephone_number": "757-686-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 J CLYDE MORRIS BLVD",
            "address_2": "SUITE #4",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011826",
            "telephone_number": "757-595-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLY CONFIDENT RESTWEAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHERREE",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER/ FITTER",
        "authorized_official_telephone_number": "757-595-3488",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO/CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "8863142008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.