Organization Active NPI

Cherry Blossom Intimates Inc

Doing business as Myya

  • Prosthetic/Orthotic Supplier
  • Glenn Dale, MD
National Provider Identifier
1508594490
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHERRY BLOSSOM INTIMATES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Regina Hampton, MDNPI 1356338230
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
333675000MedicaidMD

Other names 1

  • Myya Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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.

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

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.

Verify at the official NPI Registry.