Active NPI
Cherry Blossom Intimates Inc
Doing business as Myya
- Prosthetic/Orthotic Supplier
- Glenn Dale, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CHERRY BLOSSOM INTIMATES INC
- Doing business as
- Myya
- Practice address
- 12150 Annapolis Rd Ste 309
Glenn Dale, MD 20769-9183 - Phone
- (301) 291-5013
- Fax
- (240) 245-7900
- NPI assigned
- Aug 10, 2022
- Last updated
- Feb 23, 2024
- Organization subpart
- Yes
- Parent organization
- CHERRY BLOSSOM INTIMATES INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina Hampton, MD
- Title
- Co-Founder
- Phone
- (301) 580-0059
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
12150 Annapolis Rd Ste 309
Glenn Dale, MD 20769-9183
Mailing address
PO Box 7193
Upper Marlboro, MD 20792-7193
Phone (301) 291-5013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 333675000 | Medicaid | MD |
Other names 1
- Myya
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@myya.com | Health Information Exchange (HIE) | Cherry Blossom Intimates Inc |
| Direct Messaging Address | info@myya.com | Direct |
National Provider Directory
National Provider Directory- Part of
- Cherry Blossom Intimates Inc
Locations
9201 Woodmore Center Dr
Ste 426
Glenarden, MD 20706
Phone (301) 580-0059
9701 Philadelphia Ct
Ste E
Lanham, MD 20706
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Laurel, MD
- NPI 1356338230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708646400000",
"number": "1508594490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7193",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207927193",
"telephone_number": "301-291-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 ANNAPOLIS RD STE 309",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699183",
"telephone_number": "301-291-5013",
"fax_number": "240-245-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERRY BLOSSOM INTIMATES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHERRY BLOSSOM INTIMATES INC.",
"enumeration_date": "2022-08-10",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A",
"authorized_official_last_name": "HAMPTON",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "301-580-0059",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "333675000",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@myya.com",
"affiliation": "Y",
"affiliationName": "Cherry Blossom Intimates Inc",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "9201 Woodmore Center Dr Ste 426",
"city": "Glenarden",
"state": "MD",
"country_code": "US",
"postal_code": "207061644",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@myya.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9201 Woodmore Center Dr Ste 426",
"city": "Glenarden",
"state": "MD",
"country_code": "US",
"postal_code": "207061644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Myya",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Myya",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glenn Dale, MD
- Nikki Simone Carrington
- Brittany T Carter, MMT, LPMT, MT-BC
- Centers for Advanced Orthopaedics, LLC
- Madhavi Chada, M. D
- Cherry Blossom Intimates Inc (Myya)
- Chesapeake Pain & Wellness LLC
- Childrens Pediatricians & Assoc (Childrens National Pediatricians & Associates)
- Regine Chokote, MSN
- Maislyn Annmarie Christie, M.D.
- Florence Christopher
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.