Racole Extensions, L.C.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RACOLE EXTENSIONS, L.C.

Doing business as

Salon M double U

Practice address

2455 Annapolis Mall
Annapolis, MD 21401-7613

Phone

(410) 379-5310

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. La'Sonia Nicole Nick-McGriff

Title

Owner

Phone

(240) 304-0865

Specialties & licenses 1

Addresses

Other names 1

• Salon M double U Doing business as

Locations

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1780379065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 ANNAPOLIS MALL",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017613",
            "telephone_number": "410-379-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 ANNAPOLIS MALL",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017613",
            "telephone_number": "410-379-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACOLE EXTENSIONS, L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "NICK-MCGRIFF",
        "authorized_official_first_name": "LA'SONIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-304-0865",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salon M double U",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda B Quiller, PA-C
• Catherine M Quimby
• Honor Quinn, MSW, LMSW
• Pamela Reed Quinn
• Misha Qureshi, LPC
• Victoria Dawn Neal Raddin, LMT
• Paula Ann Radon, MD
• Mark S Radowich, M.D.
• Connor Ragan, DPT
• Leigh S Ragan, LCADC

• Prosthetic/Orthotic Supplier in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.