Active NPI
Greta M Tomany, RN, CMF
- Mastectomy Fitter
- Antigo, WI
National Provider Identifier
1740917541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- Practice address
- 612 Clermont St Ste 8
Antigo, WI 54409-1988 - Phone
- (715) 350-7174
- Fax
- (715) 716-4330
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | Primary |
Addresses
Primary practice location
612 Clermont St Ste 8
Antigo, WI 54409-1988
Mailing address
612 Clermont St Ste 8
Antigo, WI 54409-1988
Phone (715) 350-7174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Boutique LLC | Mastectomy Fitter | Current | Accepting new patients |
Locations
612 Clermont St
Ste 8
Antigo, WI 54409
Phone (715) 350-7174
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mastectomy Fitter
- Antigo, WI
- NPI 1154045888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1740917541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 CLERMONT ST STE 8",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544091988",
"telephone_number": "715-350-7174",
"fax_number": "715-716-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 CLERMONT ST STE 8",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544091988",
"telephone_number": "715-350-7174",
"fax_number": "715-716-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMANY",
"first_name": "GRETA",
"middle_name": "M",
"credential": "RN, CMF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antigo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.