Pink Ribbon Resource Center, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PINK RIBBON RESOURCE CENTER, INC

Practice address

113 Baxter LN Ste 8
Moyock, NC 27958-8792

Phone

(252) 207-1802

NPI assigned

Nov 18, 2019

Last updated

Nov 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Anne Twine, CMFNPI 1558707661

Title

Executive Director

Phone

(252) 207-1802

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Anne Twine, CMF

  • Mastectomy Fitter
  • Moyock, NC
  • NPI 1558707661
  NPD Authorized official

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1750927430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BAXTER LN STE 8",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588792",
            "telephone_number": "252-207-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BAXTER LN STE 8",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588792",
            "telephone_number": "252-207-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK RIBBON RESOURCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "TWINE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-207-1802",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne Patterson, BCBA-D
• Michaela Payne
• Sada Payne
• Peaceful Waters Counseling and Wellness Center, P.C.
• Elizabeth Peterson
• Diamond Platt
• Lorraine Pleasants
• Elizabeth Poland
• Saul S Polsky, MD
• Vonda M Raines, FNP-C

• Durable Medical Equipment & Medical Supplies in Moyock, NC
• Providers in Moyock, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.