Organization Active NPI

Studio I LLC

  • Durable Medical Equipment & Medical Supplies
  • Mishawaka, IN
National Provider Identifier
1649572256
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STUDIO I LLC
Practice address
5340 Holy Cross Pkwy Ste 110
Mishawaka, IN 46545-1470
Phone
(574) 231-6470
Fax
(574) 231-6472
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Mrs. Sharie Suzanne Conard, CFM, CMFNPI 1962651844
Title
Owner
Phone
(574) 231-6470

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 IN Primary

Addresses

Primary practice location

5340 Holy Cross Pkwy Ste 110
Mishawaka, IN 46545-1470

Mailing address

5340 Holy Cross Pkwy Ste 110
Mishawaka, IN 46545-1470
Phone (574) 231-6470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110513000200 IN DME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Prosthetic Personnel 4688850365 Practice locations: Mishawaka, IN

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Studio I LLC5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470(574) 231-6470 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Mar 17, 2011

National Provider Directory

National Provider Directory

Locations

5340 Holy Cross Pkwy
Ste 110
Mishawaka, IN 46545
Phone (574) 231-6470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1649572256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 HOLY CROSS PKWY STE 110",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451470",
            "telephone_number": "574-231-6470",
            "fax_number": "574-231-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 HOLY CROSS PKWY STE 110",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451470",
            "telephone_number": "574-231-6470",
            "fax_number": "574-231-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "CONARD",
        "authorized_official_first_name": "SHARIE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-231-6470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFM, CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.