Active NPI
Just Like You Post-Mastectomy Fitting Boutique LLC
- Durable Medical Equipment & Medical Supplies
- Jonesboro, AR
National Provider Identifier
1497363436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JUST LIKE YOU POST-MASTECTOMY FITTING BOUTIQUE LLC
- Practice address
- 2913 King St Ste 3
Jonesboro, AR 72401-5353 - Phone
- (870) 273-4245
- NPI assigned
- Jul 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya D Peppers, CFM
- Title
- Owner
- Phone
- (870) 273-4245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2913 King St Ste 3
Jonesboro, AR 72401-5353
Mailing address
2913 King St Ste 3
Jonesboro, AR 72401-5353
Phone (870) 203-0692
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | justlikeyoufitter@yahoo.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200916000191 | AR | DME Supplier - Medical Supply Company | 6800214313 | Practice locations: Jonesboro, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Just Like You Post-Mastectomy Fitti | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1497363436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2913 KING ST STE 3",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015353",
"telephone_number": "870-203-0692",
"fax_number": "870-206-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2913 KING ST STE 3",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015353",
"telephone_number": "870-273-4245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST LIKE YOU POST-MASTECTOMY FITTING BOUTIQUE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-15",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A",
"authorized_official_last_name": "PEPPERS",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-273-4245",
"authorized_official_credential": "CFM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "justlikeyoufitter@yahoo.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "2913 King St Ste 3",
"city": "Jonesboro",
"state": "AR",
"country_code": "US",
"postal_code": "724015353",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.