Active NPI
Naturally Impressive, LLC
- Customized Equipment (DME)
- Eau Claire, WI
National Provider Identifier
1740543768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- NATURALLY IMPRESSIVE, LLC
- Practice address
- 522 Union St
Eau Claire, WI 54703-5353 - Phone
- (715) 829-4488
- NPI assigned
- Jun 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian John Johnson
- Title
- Owner / Operator
- Phone
- (715) 829-4488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
522 Union St
Eau Claire, WI 54703-5353
Mailing address
522 Union St
Eau Claire, WI 54703-5353
Phone (715) 829-4488
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1740543768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 UNION ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035353",
"telephone_number": "715-829-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 UNION ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035353",
"telephone_number": "715-829-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURALLY IMPRESSIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER / OPERATOR",
"authorized_official_telephone_number": "715-829-4488"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.