Organization Active NPI

Second to Nature Women's Boutique, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
National Provider Identifier
1639118094
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2005#024743 Issued in GA
Legal business name
SECOND TO NATURE WOMEN'S BOUTIQUE, INC.
Practice address
818 Saint Sebastian Way
Suite 205
Augusta, GA 30901-2651
Phone
(706) 922-5344
Fax
(706) 922-5344
NPI assigned
Jun 4, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Karen Audrey Carter, CFM
Title
President
Phone
(706) 922-5344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2005#024743 GA Primary

Addresses

Primary practice location

818 Saint Sebastian Way
Suite 205
Augusta, GA 30901-2651

Mailing address

PO Box 2387
Evans, GA 30809-2387
Phone (706) 922-5344

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1639118094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2387",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092387",
            "telephone_number": "706-922-5344",
            "fax_number": "706-922-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY",
            "address_2": "SUITE 205",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012651",
            "telephone_number": "706-922-5344",
            "fax_number": "706-922-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND TO NATURE WOMEN'S BOUTIQUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "AUDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-922-5344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "2005#024743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.