The Total Woman Boutique, Inc.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

50324870001 Issued in LA

Legal business name

THE TOTAL WOMAN BOUTIQUE, INC.

Practice address

9244 Florida Blvd
Suite C
Baton Rouge, LA 70815-1160

Phone

(225) 924-4531

Fax

(225) 927-6986

NPI assigned

Jul 2, 2006

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ruth R Addison, CMF

Title

Owner

Phone

(225) 924-4531

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1831128776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9244 FLORIDA BLVD",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708151160",
            "telephone_number": "225-924-4531",
            "fax_number": "225-927-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9244 FLORIDA BLVD",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708151160",
            "telephone_number": "225-924-4531",
            "fax_number": "225-927-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOTAL WOMAN BOUTIQUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-924-4531",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "LA",
            "license": "50324870001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1327760",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetics Case Management in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Prosthetics Case Management in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.