Individual provider Active NPI

Tina Y Inman, CMF

  • Mastectomy Fitter
  • Wilmington, NC
National Provider Identifier
1881323152
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
C54097 Issued in NC
Practice address
1140 Shipyard Blvd
Wilmington, NC 28412-6439
Phone
(910) 332-0179
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X C54097 NC Primary

Addresses

Primary practice location

1140 Shipyard Blvd
Wilmington, NC 28412-6439

Mailing address

131 Pine Cone Rd
Wilmington, NC 28409-5113
Phone (910) 207-1198

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Yvonne@pinkhope.com

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

State licenses

LicenseStateTypeSpecialty
C54097NCMDMastectomy Fitter

Interoperability endpoints

  • Direct secure messaging: yvonne@pinkhope.com

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1881323152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PINE CONE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284095113",
            "telephone_number": "910-207-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126439",
            "telephone_number": "910-332-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN",
        "first_name": "TINA",
        "middle_name": "Y",
        "credential": "CMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "NC",
            "license": "C54097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Yvonne@pinkhope.com",
            "affiliation": "N",
            "address_1": "1140 Shipyard Blvd",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284126439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.