Feminine Forms LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FEMININE FORMS LLC

Practice address

345 S 500 E
American Fork, UT 84003-2525

Phone

(801) 770-0600

Fax

(801) 770-4565

NPI assigned

Dec 28, 2018

Organization subpart

No

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

Authorized official

Name

Liesa Naegle, CMF

Title

Manager

Phone

(801) 380-8881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These 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

Locations

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1578035713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 S 500 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032525",
            "telephone_number": "801-380-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S 500 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032525",
            "telephone_number": "801-770-0600",
            "fax_number": "801-770-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEMININE FORMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "NAEGLE",
        "authorized_official_first_name": "LIESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-380-8881",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Farnsworth
• Kerry Farr, BCBA
• Alyssa Faulk, RDN
• Chelsie Fausett, FNP
• Lori Lynn Feld
• Carmel Ferreira, NMD, LAC
• Kaybree Ferrin
• Sydney Fischer
• Peter Franklin Fitts, DPT
• Michael Folaumahina

• Prosthetic/Orthotic Supplier in American Fork, UT
• Providers in American Fork, UT by specialty
• Prosthetic/Orthotic Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.

Verify at the official NPI Registry.