Active NPI
Andread Mayers I, CERTIFIED HAIR LOSS
- Prosthetics Case Management
- Pike Road, AL
National Provider Identifier
1477018117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 88258
- Practice address
- 11123 Chantilly Pkwy CT Unit K
Pike Road, AL 36064-2881 - Phone
- (334) 676-3600
- NPI assigned
- Feb 6, 2019
- Last updated
- Feb 7, 2019
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 88258 | AL | Primary |
Addresses
Primary practice location
11123 Chantilly Pkwy CT Unit K
Pike Road, AL 36064-2881
Mailing address
PO Box 640232
Pike Rd, AL 36064
Phone (334) 676-3600
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 |
|---|---|---|---|
| 88258 | AL | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1477018117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640232",
"city": "PIKE RD",
"state": "AL",
"postal_code": "36064",
"telephone_number": "334-676-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11123 CHANTILLY PKWY CT UNIT K",
"city": "PIKE ROAD",
"state": "AL",
"postal_code": "360642881",
"telephone_number": "334-676-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYERS",
"first_name": "ANDREAD",
"name_suffix": "I",
"credential": "CERTIFIED HAIR LOSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "AL",
"license": "88258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pike Road, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.