Exotic Nova Extensions RX

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EXOTIC NOVA EXTENSIONS RX

Practice address

9445 Indianapolis Blvd # 1212
Highland, IN 46322-2648

Phone

(219) 617-3799

Fax

(219) 244-5596

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Brittany A Lee

Title

Owner

Phone

(219) 617-3799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1801567995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 SUNFOREST LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842415",
            "telephone_number": "219-617-3799",
            "fax_number": "219-244-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 INDIANAPOLIS BLVD # 1212",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222648",
            "telephone_number": "219-617-3799",
            "fax_number": "219-244-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOTIC NOVA EXTENSIONS RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-617-3799"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Essary
• Essential Alignment LLC
• Essential Wellness LLC
• Katrina Eubanks
• Everlasting Home Health, LLC
• Fal-Highland, Inc.
• Family Heath Care Center of Highland, P.C.
• Family Specialty Medical Center, LLC
• Asif Hussain Farooqui, M.D.
• Roger Farris

• Prosthetic/Orthotic Supplier in Highland, IN
• Providers in Highland, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.