Active NPI
Linda Romps
- Prosthetic/Orthotic Supplier
- Escanaba, MI
National Provider Identifier
1417194804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 810681846
- Practice address
- 1101D Ludington St
Escanaba, MI 49829-3502 - Phone
- (906) 786-2724
- NPI assigned
- Jan 7, 2009
- Last updated
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 810681846 | MI | Primary |
Addresses
Primary practice location
1101D Ludington St
Escanaba, MI 49829-3502
Mailing address
1101D Ludington St
Escanaba, MI 49829-3502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 874923595 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810681846 | MI | MD | Prosthetic/Orthotic Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Up Bras That Fit Inc | Prosthetic/Orthotic Supplier | Current | Accepting new patients |
Locations
1101 Ludington St
Ste D
Escanaba, MI 49829
Phone (906) 786-2724
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Escanaba, MI
- NPI 1174554505
Prosthetic/Orthotic Supplier
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1417194804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101D LUDINGTON ST",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498293502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101D LUDINGTON ST",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498293502",
"telephone_number": "906-786-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMPS",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MI",
"license": "810681846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "874923595",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.