Mya Nichelle LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MYA NICHELLE LLC

Practice address

100 W Baltimore Ave Apt H
Lansdowne, PA 19050-2139

Phone

(610) 809-8332

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Tamiya Wade

Title

Owner

Phone

(610) 809-8332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1811648918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W BALTIMORE AVE APT H",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502139",
            "telephone_number": "610-809-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYA NICHELLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "TAMIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-809-8332"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakiyah E Mosely-Culler
• MP Capital Partners LLC
• Brian Paul Mullan
• Jontae Mumford
• Muna Healthcare LLC
• Anthony Napoletano
• Melissa Neff, LMT
• New Day Comfort Homecare, LLC.
• New Hope Psychiatry & Wellness PLLC
• Linh Khanh Nguyen

• Customized Equipment (DME) in Lansdowne, PA
• Providers in Lansdowne, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.