Peeping Moms Ultrasound Boutique LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

PEEPING MOMS ULTRASOUND BOUTIQUE LLC

Practice address

6320 US 301 S
Riverview, FL 33578-3829

Phone

(813) 647-9099

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Stormy Goodwin, RT(S), RVT, RDMSNPI 1942945449

Title

Owner

Phone

(813) 647-9099

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.

• Stormy Goodwin, RT(S), RVT, RDMS

  • Diagnostic Ultrasound Physician
  • Riverview, FL
  • NPI 1942945449
  NPD Authorized official

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1720723737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 US 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783829",
            "telephone_number": "813-647-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 US 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783829",
            "telephone_number": "813-647-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEPING MOMS ULTRASOUND BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "STORMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-647-9099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT(S), RVT, RDMS"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Ultrasound Physician in Riverview, FL
• Providers in Riverview, FL by specialty
• Diagnostic Ultrasound Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.