NPIMap

Organization Active NPI

Pink Ribbon Boutique Chippewa Valley LLC

  • Durable Medical Equipment & Medical Supplies
  • Chippewa Falls, WI
National Provider Identifier
1609583442
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PINK RIBBON BOUTIQUE CHIPPEWA VALLEY LLC
Practice address
2829 County Highway I Ste 3
Chippewa Falls, WI 54729-2678
Phone
(715) 492-4068
Fax
(715) 723-4451
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Arianne Fox, PTNPI 1760448153
Title
Owner
Phone
(715) 226-1416

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2829 County Highway I Ste 3
Chippewa Falls, WI 54729-2678

Mailing address

2829 County Highway I Ste 3
Chippewa Falls, WI 54729-2678
Phone (715) 492-4068

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNOT ISSUED

National Provider Directory

National Provider Directory

Locations

2829 County Highway I
Ste 3
Chippewa Fls, WI 54729
Phone (715) 723-4451

Practitioners & affiliated clinicians

Practitioners 3

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": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1609583442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 COUNTY HIGHWAY I STE 3",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292678",
            "telephone_number": "715-492-4068",
            "fax_number": "715-723-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 COUNTY HIGHWAY I STE 3",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292678",
            "telephone_number": "715-492-4068",
            "fax_number": "715-723-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK RIBBON BOUTIQUE CHIPPEWA VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ARIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-226-1416",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT ISSUED",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.