Betty'S Boutique

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BETTY'S BOUTIQUE

Practice address

414 Overhill Rd
Knoxville, TN 37914-4328

Phone

(865) 525-7412

Fax

(865) 525-7412

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Betty Sherrod

Title

Owner

Phone

(865) 525-7412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1770760654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 OVERHILL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379144328",
            "telephone_number": "865-525-7412",
            "fax_number": "865-525-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OVERHILL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379144328",
            "telephone_number": "865-525-7412",
            "fax_number": "865-525-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY'S BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-525-7412",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.