Wilma Gros

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

321 North Canal Blvd
Thibodaux, LA 70301-2988

Phone

(225) 265-6068

NPI assigned

May 21, 2021

Last updated

Sep 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Everlasting Impressions Hair Restoration Clinic

  • Durable Medical Equipment & Medical Supplies
  • Thibodaux, LA
  • NPI 1588233944
  NPD Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1467027516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13246 DESIRE ST",
            "city": "VACHERIE",
            "state": "LA",
            "postal_code": "700904328",
            "telephone_number": "225-773-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORTH CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012988",
            "telephone_number": "225-265-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROS",
        "first_name": "WILMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily M Gros, B.S.
• Haley Burkett Gros, LPC
• Laura Gros, RN
• Shannan Gros
• Shenee Haas Gros, LPC
• Ajah Guidroz
• Amber Guidry
• Andre Joseph Guidry, OT
• Cierra Guidry, BA
• Jennifer Marie Guidry, M.ED., PLPC

• Durable Medical Equipment & Medical Supplies in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.