Anns Lingerie and Mastectomy Center Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ANNS LINGERIE AND MASTECTOMY CENTER INC

Doing business as

Ann's Bra Shop

Practice address

1221 Wentzville Pkwy
Wentzville, MO 63385-3405

Phone

(636) 332-6700

Fax

(636) 332-6811

NPI assigned

Jul 11, 2011

Last updated

Nov 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine C Burns, RFM, CFM

Title

President/Owner

Phone

(314) 878-4144

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ann's Bra Shop Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Anns Lingerie and Mastectomy Center Inc

  dba Ann's Bra Ship

  • Prosthetic/Orthotic Supplier
  • Cape Girardeau, MO
  • NPI 1841732716

  7719005503

  Same PAC ID
• Anns Lingerie and Mastectomy Center, Inc

  dba Ann's Bra Shop

  • Customized Equipment (DME)
  • Chesterfield, MO
  • NPI 1598722860

  7719005503

  Same PAC ID
• Anns Lingerie and Mastectomy Center Inc

  dba Ann's Bra Shop

  • Durable Medical Equipment & Medical Supplies
  • O'Fallon, IL
  • NPI 1588952691

  7719005503

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Anns Cameo Bra Shop4 organizations share this tax ID, including this one

Part of

Anns Cameo Bra Shop

Other organizations with this tax ID 3

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

• Anns Lingerie and Mastectomy Center Inc

  dba Ann's Bra Ship

  • Prosthetic/Orthotic Supplier
  • Cape Girardeau, MO
  • NPI 1841732716
  NPD tax ID
• Anns Lingerie and Mastectomy Center, Inc

  dba Ann's Bra Shop

  • Customized Equipment (DME)
  • Chesterfield, MO
  • NPI 1598722860
  NPD tax ID
• Anns Lingerie and Mastectomy Center Inc

  dba Ann's Bra Shop

  • Durable Medical Equipment & Medical Supplies
  • O'Fallon, IL
  • NPI 1588952691
  NPD tax ID

Locations

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1891083952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13483 OLIVE BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173166",
            "telephone_number": "314-878-4144",
            "fax_number": "314-878-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853405",
            "telephone_number": "636-332-6700",
            "fax_number": "636-332-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNS LINGERIE AND MASTECTOMY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "314-878-4144",
        "authorized_official_credential": "RFM, CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6296928808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ann's Bra Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.