Shronda Louder

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CO090464 Issued in GA

Practice address

1 N Godley Station Blvd # 12
Pooler, GA 31322-4411

Phone

(678) 994-3382

Fax

(912) 299-2345

NPI assigned

Mar 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salon Nevaeh Certified Hair Replacement Specialist , LLC

  • Prosthetic/Orthotic Supplier
  • Rincon, GA
  • NPI 1427581610
  NPD (past)

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1982065652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N GODLEY STATION BLVD",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224411",
            "telephone_number": "678-994-3382",
            "fax_number": "912-299-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N GODLEY STATION BLVD # 12",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224411",
            "telephone_number": "678-994-3382",
            "fax_number": "912-299-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDER",
        "first_name": "SHRONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": "GA",
            "license": "CO090464",
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO090464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCILLARY",
            "identifier": "134277356",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tea M Lungarini
• Courtney Ann Luukko

• Prosthetics Case Management in Pooler, GA
• Providers in Pooler, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.