Carol's Post Mastectomy Specialist Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CAROL'S POST MASTECTOMY SPECIALIST INC

Practice address

72 N Pecos Rd Ste B
Henderson, NV 89074

Phone

(702) 568-9595

Fax

(702) 933-4051

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Stenquist Flowers

Title

Owner

Phone

(702) 568-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1801980719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 N PECOS RD STE B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747346",
            "telephone_number": "702-568-9595",
            "fax_number": "702-933-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 N PECOS RD STE B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-568-9595",
            "fax_number": "702-933-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL'S POST MASTECTOMY SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "STENQUIST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-568-9595"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003302342",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ria Desamito Carlisle
• Carlson Med Group
• Alexis Nichole Carlston, DPT
• Lisa Carman
• Graciela Carmona
• Kimberly Ann Carpenter, PHARM. D.
• Ahmad Carr
• Walter Guy Carr, M.D.
• Candido Carrasco
• Denise Carratelli

• Durable Medical Equipment & Medical Supplies in Henderson, NV
• Providers in Henderson, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.