Active NPI
Simply Irresistible Woman, LLC
- Prosthetic/Orthotic Supplier
- Warner Robins, GA
National Provider Identifier
1790974384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- SIMPLY IRRESISTIBLE WOMAN, LLC
- Practice address
- 115 Margie Dr Ste D
Warner Robins, GA 31093-7582 - Phone
- (478) 953-1377
- Fax
- (478) 971-1646
- NPI assigned
- Oct 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Judy A Mason
- Title
- Single Manager
- Phone
- (478) 953-1377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
115 Margie Dr Ste D
Warner Robins, GA 31093-7582
Mailing address
115 Margie Dr Ste D
Warner Robins, GA 31093-7582
Phone (478) 953-1377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6029780001 | Other | GA | PROVIDER TRANSACTION ACCESS NUMBER |
Other names 1
- Color Me Pink
National Provider Directory
National Provider DirectoryLocations
100 N Houston Lake Blvd
Ste Z
Centerville, GA 31028
115 Margie Dr
Ste D
Warner Robins, GA 31093
Phone (478) 953-1377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305504000000",
"number": "1790974384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MARGIE DR STE D",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310937582",
"telephone_number": "478-953-1377",
"fax_number": "478-971-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MARGIE DR STE D",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310937582",
"telephone_number": "478-953-1377",
"fax_number": "478-971-1646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY IRRESISTIBLE WOMAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2011-05-16",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SINGLE MANAGER",
"authorized_official_telephone_number": "478-953-1377",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TRANSACTION ACCESS NUMBER",
"identifier": "6029780001",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Color Me Pink",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.