Lalas Cranial Prosthetic LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

LALAS CRANIAL PROSTHETIC LLC

Practice address

2224 Jenny Dr
Fairburn, GA 30213-4532

Phone

(147) 030-1951

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Rykeyla Bridges, BSN, RNNPI 1326602053

Title

Owner

Phone

(470) 301-9510

Specialties & licenses 3

Addresses

Practitioners 1

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

• Rykeyla Bridges, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairburn, GA
  • NPI 1326602053
  NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1750083267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 JENNY DR, FAIRBURN, GA 30213",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "30213",
            "telephone_number": "147-030-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 JENNY DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134532",
            "telephone_number": "147-030-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALAS CRANIAL PROSTHETIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "RYKEYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-301-9510",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingdom Care Connections, LLC
• Kingdom Expressions Atl LLC
• Melanie Kline, FNP-BC, AGACNP-BC
• Cedric O Knight II, PHARM D.
• Edith Kwinke
• Lavender Meadows, Inc
• Akiesha Lawrence
• Denise Robinson Lawrence, MA, CCC-SLP
• Stanley V Lee, LCSW
• Toni Lee

• Customized Equipment (DME) in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.