Active NPI
Fully Confident Restwear Inc.
- Durable Medical Equipment & Medical Supplies
- Newport News, VA
National Provider Identifier
1386821072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 8863142008
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.