Organization Active NPI

Simply Irresistible Woman, LLC

  • Prosthetic/Orthotic Supplier
  • Warner Robins, GA
National Provider Identifier
1790974384
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on May 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6029780001OtherGAPROVIDER TRANSACTION ACCESS NUMBER

Other names 1

  • Color Me Pink Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.