Isnatchwigsrx

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ISNATCHWIGSRX

Practice address

25 E Mellen St
Hampton, VA 23663-1709

Phone

(757) 239-9919

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

Traia Wilson

Title

Owner

Phone

(757) 239-9919

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1851981096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E MELLEN ST",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236631709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E MELLEN ST",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236631709",
            "telephone_number": "757-239-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISNATCHWIGSRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TRAIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-239-9919"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7572574618",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "25 E Mellen St",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236631709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Hampton, VA
• Providers in Hampton, 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 Jan 21, 2021; 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.