Organization Active NPI

TLT Cosmetics LLC

  • Mastectomy Fitter
  • Nicholasville, KY
National Provider Identifier
1699274415
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Legal business name
TLT COSMETICS LLC
Practice address
115 Quinn Dr
Nicholasville, KY 40356-1370
Phone
(859) 881-0041
NPI assigned
Feb 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Ms. Tracie Taylor
Title
Owner
Phone
(859) 881-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy FitterGroup: 193400000X SINGLE SPECIALTY GROUP 224900000X Primary

Addresses

Primary practice location

115 Quinn Dr
Nicholasville, KY 40356-1370

Mailing address

115 Quinn Dr
Nicholasville, KY 40356-1370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191009003235 KY DME Supplier - Medical Supply Company 1557692308 Practice locations: Nicholasville, KY

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
TLT Cosmetics LLC115 Quinn Dr, Nicholasville, KY 40356-1370(859) 241-3006 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Oct 9, 2019

National Provider Directory

National Provider Directory

Locations

103 Edgewood Plaza Dr
Nicholasville, KY 40356
Phone (859) 881-0041

115 Quinn Dr
Nicholasville, KY 40356
Phone (859) 241-3006

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": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1699274415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 QUINN DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 QUINN DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561370",
            "telephone_number": "859-881-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLT COSMETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-881-0041",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.