Raw Dymondz

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RAW DYMONDZ

Practice address

2096 McPherson Rd
Memphis, TN 38116-8618

Phone

(901) 896-6685

Fax

(901) 896-6685

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Amanda R Nichols

Title

Cranial Prothesis Specialist

Phone

(901) 896-6685

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1780345173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 MCPHERSON RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168618",
            "telephone_number": "901-896-6685",
            "fax_number": "901-896-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 MCPHERSON RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168618",
            "telephone_number": "901-896-6685",
            "fax_number": "901-896-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAW DYMONDZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CRANIAL PROTHESIS SPECIALIST",
        "authorized_official_telephone_number": "901-896-6685"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9018966695",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2096 McPherson Rd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381168618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bridget C Ratliff, PNP
• Pauline Davis Ratliff
• Paul Ratmeyer, MD
• Darian Raucher
• Stephen Randolph Rauls, M.D.
• Pawan Virendra Rawal, M.B.B.S.
• Brendan Rawlings, DO
• John Cadmus Rawls Jr., O.T
• William Nathan Rawls, PHARM.D.
• Pallavi V Rawtani, MD

• Prosthetic/Orthotic Supplier in Memphis, TN
• Providers in Memphis, 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 Jan 6, 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.

Verify at the official NPI Registry.