Organization Active NPI

Your Nu Image LLC

  • Durable Medical Equipment & Medical Supplies
  • White Plains, MD
National Provider Identifier
1851189880
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
YOUR NU IMAGE LLC
Practice address
4475 Regency PL Ste 301a
White Plains, MD 20695-3077
Phone
(855) 753-1919
NPI assigned
Apr 29, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Lakeysha Demar Boyd-Moore, CHLP
Title
Certified Hair Loss Practitioner
Phone
(855) 753-1919

Specialties & licenses 1

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

Addresses

Primary practice location

4475 Regency PL Ste 301a
White Plains, MD 20695-3077

Mailing address

5109 Rock Beauty CT
Waldorf, MD 20603-4789
Phone (855) 753-1919

National Provider Directory

National Provider Directory

Locations

4475 Regency Pl
Ste 301A
White Plains, MD 20695
Phone (855) 753-1919

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1851189880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 ROCK BEAUTY CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034789",
            "telephone_number": "855-753-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PL STE 301A",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953077",
            "telephone_number": "855-753-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR NU IMAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "BOYD-MOORE",
        "authorized_official_first_name": "LAKEYSHA",
        "authorized_official_middle_name": "DEMAR",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS PRACTITIONER",
        "authorized_official_telephone_number": "855-753-1919",
        "authorized_official_credential": "CHLP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.