Wigs and Hair Extensions of Sarasota Inc.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CL1225850 Issued in FL

Legal business name

WIGS AND HAIR EXTENSIONS OF SARASOTA INC.

Practice address

2412 Stickney Point Road
Sarasota, FL 34231

Phone

(941) 600-6387

NPI assigned

Mar 26, 2012

Last updated

Nov 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nancy J Olevson, WIGS & BREAST FORMSNPI 1346516200

Title

President

Phone

(941) 600-6387

Specialties & licenses 2

Addresses

Other names 1

• Sarasota Mastectomy Products.com Other name

Locations

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.

• Nancy Olevson

  • Prosthetics Case Management
  • Sarasota, FL
  • NPI 1346516200
  NPD (past) Authorized official

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1518233477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 STICKNEY POINT ROAD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "941-600-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 STICKNEY POINT ROAD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "941-600-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGS AND HAIR EXTENSIONS OF SARASOTA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "OLEVSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-600-6387",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "WIGS & BREAST FORMS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "400279",
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "CL1225850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarasota Mastectomy Products.com",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia Marie Widman, LMHC
• Brittany C Wierzba, PHD
• Wilhelmine Wiese-Rometsch, MD
• Danielle Michelina Wiggin, APRN
• Judith Ellen Wiggins, LCSW
• Ellen E Wijnberg, LCSW
• Tara Regina Wilcox
• Lawrence Ernest Wild, D.M.D.
• Rachel Wild
• Michelle Ann Wilde, APRN (FNP-C)

• Prosthetics Case Management in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.