Organization Active NPI

B & B Lingerie Company, Inc.

  • Prosthetic/Orthotic Supplier
  • Boise, ID
National Provider Identifier
1912123795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
B & B LINGERIE COMPANY, INC.
Practice address
2417 Bank Dr
Suite 201
Boise, ID 83705-2570
Phone
(208) 343-9696
Fax
(208) 343-9266
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Stacie Q Neely
Title
President
Phone
(208) 343-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2417 Bank Dr
Suite 201
Boise, ID 83705-2570

Mailing address

PO Box 5731
Boise, ID 83705-0731
Phone (208) 343-9696

Other names 1

  • Bosom Buddy Breast Forms Doing business as

National Provider Directory

National Provider Directory

Locations

2417 W Bank Dr
Ste 201
Boise, ID 83705
Phone (208) 343-9696

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912123795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5731",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837050731",
            "telephone_number": "208-343-9696",
            "fax_number": "208-343-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 BANK DR",
            "address_2": "SUITE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052570",
            "telephone_number": "208-343-9696",
            "fax_number": "208-343-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & B LINGERIE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-343-9696",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bosom Buddy Breast Forms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.