Christin Ann Sias, HAIR LOSS SPECIALIST

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

224P00000X Issued in LA

Practice address

1003 Louisiana Ave
Lafayette, LA 70501-4552

Phone

(337) 520-1175

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1649914177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HUNTERS LN",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705074952",
            "telephone_number": "337-520-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 LOUISIANA AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705014552",
            "telephone_number": "337-520-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAS",
        "first_name": "CHRISTIN",
        "middle_name": "ANN",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "LA",
            "license": "224P00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744P3200X",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED HAIR LOSS SPECIALIST",
            "identifier": "224P00000X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald D Short, LPC, LMFT
• Josh Anthony Showalter, M.D.
• Jishna Shrestha, MD
• Samuel Henderson Shuffler, MD
• Creighton E Shute, D.O.
• Ivy Desirae Bennett Sias, M.S., NCC, LPC
• Jonterra Sias
• Tanya Sias, MS CCC SLP
• Galeno Sibilia, MD
• Brittany M'Liss Sibille, CNP

• Prosthetist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Prosthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.