Organization Active NPI

My Mommy Store

  • Durable Medical Equipment & Medical Supplies
  • Elizabethtown, KY
National Provider Identifier
1700299989
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MY MOMMY STORE
Practice address
1704 N Dixie Hwy
Suite E-7
Elizabethtown, KY 42701-9449
Phone
(270) 769-6693
Fax
(270) 769-6693
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Ms. Mary Carol Akers, CNM, PHDNPI 1689781759
Title
Owner
Phone
(270) 769-6693

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 Primary

Addresses

Primary practice location

1704 N Dixie Hwy
Suite E-7
Elizabethtown, KY 42701-9449

Mailing address

1704 N Dixie Hwy
Suite E-7
Elizabethtown, KY 42701-9449
Phone (270) 769-6693

National Provider Directory

National Provider Directory

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1700299989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 N DIXIE HWY",
            "address_2": "SUITE E-7",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019449",
            "telephone_number": "270-769-6693",
            "fax_number": "270-769-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N DIXIE HWY",
            "address_2": "SUITE E-7",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019449",
            "telephone_number": "270-769-6693",
            "fax_number": "270-769-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MOMMY STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-769-6693",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM, PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.