Organization Active NPI

Four Sisters LLC

  • Prosthetic/Orthotic Supplier
  • Gulfport, MS
National Provider Identifier
1477199883
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FOUR SISTERS LLC
Practice address
9138 Carl Legett Rd Ste C
Gulfport, MS 39503-6262
Phone
(228) 896-3688
Fax
(228) 896-3688
NPI assigned
Nov 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Melissa Logos, CMFNPI 1497220321
Title
Owner
Phone
(228) 424-1913

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 2

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

Addresses

Primary practice location

9138 Carl Legett Rd Ste C
Gulfport, MS 39503-6262

Mailing address

9138 Carl Legett Rd Ste C
Gulfport, MS 39503-6262
Phone (228) 896-3688

Other names 1

  • Foundations Professional Bra Fitting Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Foundationsbrafittings.com Direct

National Provider Directory

National Provider Directory

Locations

9138 Carl Legett Rd
#C
Gulfport, MS 39503
Phone (228) 896-3688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1477199883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 CARL LEGETT RD STE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036262",
            "telephone_number": "228-896-3688",
            "fax_number": "228-896-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9138 CARL LEGETT RD STE C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036262",
            "telephone_number": "228-896-3688",
            "fax_number": "228-896-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SISTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "LOGOS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-424-1913",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Foundationsbrafittings.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9138 Carl Legett Rd Ste C",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395036262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Foundations Professional Bra Fitting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foundations Professional Bra Fitting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.