Active NPI
Crownedtwo LLC.
- Customized Equipment (DME)
- Louisville, KY
National Provider Identifier
1659028884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- CROWNEDTWO LLC.
- Practice address
- 2200 Pikes Peak Blvd Apt 3
Louisville, KY 40214-1168 - Phone
- (770) 681-3887
- NPI assigned
- Mar 8, 2022
- Last updated
- Mar 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andralette C Flynn
- Title
- Owner
- Phone
- (404) 747-3554
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NU | Primary |
Addresses
Primary practice location
2200 Pikes Peak Blvd Apt 3
Louisville, KY 40214-1168
Mailing address
2200 Pikes Peak Blvd Apt 3
Louisville, KY 40214-1168
Phone (404) 747-3554
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Prosthetist
- Louisville, KY
- NPI 1649853680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646697600000",
"number": "1659028884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 PIKES PEAK BLVD APT 3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402141168",
"telephone_number": "404-747-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PIKES PEAK BLVD APT 3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402141168",
"telephone_number": "770-681-3887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWNEDTWO LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "ANDRALETTE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-747-3554"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.