Applied Lighting Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

APPLIED LIGHTING INC

Doing business as

The Pink Door

Practice address

101 Sunset PT
Palatka, FL 32177-9018

Phone

(386) 328-9424

Fax

(386) 328-9470

NPI assigned

Jun 1, 2006

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Detar, CFMNPI 1013020361

Title

President

Phone

(386) 328-9424

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Pink Door Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

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.

• Susan Margaret Detar, CFM

  • Prosthetics Case Management
  • Palatka, FL
  • NPI 1013020361
  NPD Authorized official

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1720025224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUNSET PT",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779018",
            "telephone_number": "386-328-9424",
            "fax_number": "386-328-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SUNSET PT",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779018",
            "telephone_number": "386-328-9424",
            "fax_number": "386-328-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED LIGHTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "DETAR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-328-9424",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M2732",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pink Door",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pink Door",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amarilis Aviles-Garcia MD PA
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• Alexis Hernandez Arango, R.PH.
• Beatrice Denise Armstrong, RPH
• Amanda G Arnett, PTA
• Suzette R. Asberry
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• Prosthetic/Orthotic Supplier in Palatka, FL
• Providers in Palatka, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.