Keivia Latrice Hardy

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

121503 Issued in AL

Practice address

3362 Atlanta Hwy
Montgomery, AL 36109-2702

Phone

(334) 324-9224

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1750893293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 BUCKRAM OAK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176724",
            "telephone_number": "334-324-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 ATLANTA HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092702",
            "telephone_number": "334-324-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "KEIVIA",
        "middle_name": "LATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "AL",
            "license": "121503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samanta Sabrina Haque
• Whitney Harder
• Robert Hardwick, PHARM.D.
• Russell Thomas Hardwick Sr., RPH
• Janice Jean Hardy, R.D.
• Kelli D. Hardy, RN
• Thomas James Hardy Jr., OWNER
• Tori Hardy
• Yvette Hargett
• Alfred Earl Hargrave, RPH

• All providers in Montgomery, AL
• Prosthetics Case Management in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.