Empire Garden Lymphedema Services & Products, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

71590 Issued in NC

Legal business name

EMPIRE GARDEN LYMPHEDEMA SERVICES & PRODUCTS, LLC

Practice address

539 Keisler Dr
Suite 204
Cary, NC 27518-9320

Phone

(919) 677-0767

NPI assigned

Jan 28, 2013

Last updated

Jan 28, 2013By 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

Miss Earline JacksonNPI 1982743274

Title

Director/Chief Therapist

Phone

(919) 677-0767

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earline Jackson, LPN CMLDT LMT

  • Licensed Practical Nurse
  • Apex, NC
  • NPI 1982743274
  Authorized official Same address or phone

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1831437763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 KEISLER DR STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 KEISLER DR",
            "address_2": "SUITE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189320",
            "telephone_number": "919-677-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE GARDEN LYMPHEDEMA SERVICES & PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EARLINE",
        "authorized_official_title_or_position": "DIRECTOR/CHIEF THERAPIST",
        "authorized_official_telephone_number": "919-677-0767",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "71590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Emery
• Thomas Emery
• Brittany Emont, M.S.ED, BCBA
• Emotional Wellness Counseling PLLC
• Empire Garden Lymphedema Services & Products, LLC
• Empowered Arthritis and Rheumatology Center PLLC
• Endless Possibilities Physical Therapy LLC
• Laurie Rose Engbring, M.S. CCC-SLP
• Karen Engelhard, LCMHC
• Phoebe Engelhardt

• Medical Specialty Clinic/Center in Cary, NC
• Providers in Cary, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.