Individual provider Active NPI

Carolyn Holland Lumpkin, CERTIFIED FITTER

  • Durable Medical Equipment & Medical Supplies
  • Danville, VA
National Provider Identifier
1841356904
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
625 Piney Forest Rd Ste 202
Danville, VA 24540
Phone
(434) 793-5239
Fax
(434) 793-5240
NPI assigned
Dec 30, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

625 Piney Forest Rd Ste 202
Danville, VA 24540

Mailing address

625 Piney Forest Rd Ste 202
Danville, VA 24540
Phone (434) 793-5239

Other identifiers 1

IdentifierTypeStateIssuer
1299060001OtherVAPALMETTO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Bra Lady Boutique, Inc Durable Medical Equipment & Medical Supplies Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1841356904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD STE 202",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24540",
            "telephone_number": "434-793-5239",
            "fax_number": "434-793-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD STE 202",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24540",
            "telephone_number": "434-793-5239",
            "fax_number": "434-793-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMPKIN",
        "first_name": "CAROLYN",
        "middle_name": "HOLLAND",
        "credential": "CERTIFIED FITTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "1299060001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.