Emerge Empowerment Movement

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

219400 Issued in MD

Legal business name

EMERGE EMPOWERMENT MOVEMENT

Practice address

872 Largo Center Dr
Largo, MD 20774-3705

Phone

(202) 321-0272

NPI assigned

Nov 10, 2017

Organization subpart

No

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

Authorized official

Name

La Chett Katrenia Landrum, COSMETOLOGIST

Title

Executive Director

Phone

(202) 321-0272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1609389725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 FISHER RD APT 12",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485916",
            "telephone_number": "202-321-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 LARGO CENTER DR",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743705",
            "telephone_number": "202-321-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE EMPOWERMENT MOVEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "LA CHETT",
        "authorized_official_middle_name": "KATRENIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-321-0272",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": "219400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Largo, MD
• Providers in Largo, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.