Lymphedema and Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LYMPHEDEMA AND MEDICAL SUPPLIES LLC

Practice address

4215 S Grand Canyon Dr Ste 101
Las Vegas, NV 89147-7173

Phone

(702) 448-6042

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Brittany Ronnebaum, PT, DPTNPI 1386083509

Title

Member

Phone

(702) 580-8125

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brittany Ronnebaum, PT, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1386083509
  NPD Authorized official

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1689483455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 LAGUNILLA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494730",
            "telephone_number": "702-580-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 S GRAND CANYON DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477173",
            "telephone_number": "702-448-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA AND MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "RONNEBAUM",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-580-8125",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximilian Stephen Lymangrover
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• Marguerite Lynall
• Monica Lynn Lynam, APRN-C
• Andrea Leann Lynch
• Cheyanne Aleah Lynch
• Cheyelyn Lynch

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.