Naturals Breast Boutique LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NATURALS BREAST BOUTIQUE LLC

Practice address

804 N College Ave Ste 100
Bloomington, IN 47404-3599

Phone

(812) 361-2641

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By 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

Elena Kinder, CMFNPI 1851960637

Title

Owner

Phone

(812) 361-2641

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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.

• Elena Kinder, LMT, CMF

  • Mastectomy Fitter
  • Bloomington, IN
  • NPI 1851960637
  NPD Authorized official

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1790357465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N COLLEGE AVE STE 100",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043599",
            "telephone_number": "812-361-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N COLLEGE AVE STE 100",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043599",
            "telephone_number": "812-361-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURALS BREAST BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-361-2641",
        "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": []
}

• Tera Dee Nance, MS, NCC, LMHC
• Nancy Ann Rutkowski, Inc
• Kierstyn A Napier Dovorany, O.D.
• Karen Nasstrom
• Jaskaran Singh Nat, M.D.
• Christine Nau, LMT
• Hannah Neal
• Kristin Lucille Neal, DDS
• Tiffany J Neal, PHD, HSPP
• Ann Marie Neeley, IBCLC

• Durable Medical Equipment & Medical Supplies in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.