Boogey Make-Up Studio Hair Loss Specialist

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOOGEY MAKE-UP STUDIO HAIR LOSS SPECIALIST

Doing business as

Boogey Make-Up Studio Hair Loss Specialist

Practice address

3100 Knight St
Shreveport, LA 71105-2508

Phone

(318) 505-1425

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Miss Deirdre Mashale WrightNPI 1013669571

Title

Owner

Phone

(318) 505-1425

Specialties & licenses 1

Addresses

Other names 1

• Boogey Make-Up Studio Hair Loss Specialist Doing business as

Locations

Practitioners 1

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

• Deirdre Mashale Wright

  • Prosthetist
  • Shreveport, LA
  • NPI 1013669571
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1730940842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 KNIGHT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052508",
            "telephone_number": "318-505-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KNIGHT ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052508",
            "telephone_number": "318-505-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOGEY MAKE-UP STUDIO HAIR LOSS SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "MASHALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-505-1425",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boogey Make-Up Studio Hair Loss Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boogey Make-Up Studio Hair Loss Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angela Price Booker, FNP-C
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• Shelley Whitehead Booker, MSW, LCSW, ACSW

• Durable Medical Equipment & Medical Supplies in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.