Second to Nature Boutique, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

10--F001 Issued in NC

Legal business name

SECOND TO NATURE BOUTIQUE, LLC

Practice address

2549 Greensboro Rd
Martinsville, VA 24112-0676

Phone

(276) 670-2727

Fax

(276) 670-2007

NPI assigned

Nov 12, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Ramona R. Hertzell, CFMNPI 1821097312

Title

Member

Phone

(336) 274-2003

Specialties & licenses 1

Addresses

Tax ID family

Second to Nature Boutique LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Second to Nature Boutique, LLC

  • Prosthetic/Orthotic Supplier
  • Greensboro, NC
  • NPI 1114210218
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramona Hertzell, CFM

  • Prosthetics Case Management
  • Greensboro, NC
  • NPI 1821097312
  NPD Authorized official

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851635031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STATE ST",
            "address_2": "UNIT A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055659",
            "telephone_number": "336-274-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 GREENSBORO RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241120676",
            "telephone_number": "276-670-2727",
            "fax_number": "276-670-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND TO NATURE BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HERTZELL",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-274-2003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "10--F001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Seamon, MD
• Wendy Seamon, PT
• Bobbie Jo Seamster, LPC
• Second Chance Support Services LLC
• Second Chance, LLC
• Amy Mays Seidle, LPTA
• Kathryn Cabot Self, MD
• John William Selman, M.D.
• Yogesh Sharma, M.D.
• James W Shearer, DDS

• Prosthetic/Orthotic Supplier in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.