I Spy Her Wigs

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

I SPY HER WIGS

Practice address

1720 Cumberland Point Dr SE Ste 20
Marietta, GA 30067-9204

Phone

(614) 999-3665

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Miss Jalisa L SpyNPI 1679140826

Title

Ceo

Phone

(614) 999-3665

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jalisa L Spy

  • Prosthetic/Orthotic Supplier
  • Marietta, GA
  • NPI 1679140826
  NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1700530995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CUMBERLAND POINT DR SE STE 20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679204",
            "telephone_number": "614-999-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CUMBERLAND POINT DR SE STE 20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679204",
            "telephone_number": "614-999-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I SPY HER WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A",
        "authorized_official_last_name": "SPY",
        "authorized_official_first_name": "JALISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-999-3665",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Marietta, GA
• Providers in Marietta, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.