Organization Active NPI

Showtyme International Hair & Show

  • Prosthetic/Orthotic Supplier
  • Orlando, FL
National Provider Identifier
1396257077
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SHOWTYME INTERNATIONAL HAIR & SHOW
Practice address
2123 W Colonial Dr
Orlando, FL 32804-6946
Phone
(407) 246-7076
NPI assigned
Nov 2, 2017
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Ms. Alicia Y Gilreath, CERTIFIEDHAIRLOSSSPENPI 1306634951
Title
Owner
Phone
(407) 246-7076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2123 W Colonial Dr
Orlando, FL 32804-6946

Mailing address

2123 W Colonial Dr
Orlando, FL 32804-6946
Phone (407) 246-7076

National Provider Directory

National Provider Directory

Locations

2123 W Colonial Dr
Orlando, FL 32804
Phone (407) 246-7076

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1396257077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046946",
            "telephone_number": "407-246-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046946",
            "telephone_number": "407-246-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOWTYME INTERNATIONAL HAIR & SHOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "GILREATH",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-246-7076",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIEDHAIRLOSSSPE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.