Active NPI
Allison Mouse, CFO
- Orthotic Fitter
- Durham, NC
National Provider Identifier
1558035774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- CFO05319
- Practice address
- 2301 Erwin Rd RM 6202
Durham, NC 27705-4699 - Phone
- (919) 681-2675
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | CFO05319 | NC | Primary |
Addresses
Primary practice location
2301 Erwin Rd RM 6202
Durham, NC 27705-4699
Mailing address
299 Royal Oak LN
Garner, NC 27529-9240
Phone (919) 268-7038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFO05319 | NC | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1558035774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 ROYAL OAK LN",
"city": "GARNER",
"state": "NC",
"postal_code": "275299240",
"telephone_number": "919-268-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 ERWIN RD RM 6202",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054699",
"telephone_number": "919-681-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSE",
"first_name": "ALLISON",
"name_prefix": "Ms.",
"credential": "CFO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NC",
"license": "CFO05319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.