Regina Ingram Amell, MASTER COSMETOLOGIST

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

11770 Haynes Bridge Rd
Suite 401 Room 48
Alpharetta, GA 30009-1966

Phone

(520) 255-3024

NPI assigned

May 15, 2015

Sex

Female

Sole proprietor

Yes

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.

• Still-a-Woman LLC.

  • Customized Equipment (DME)
  • Alpharetta, GA
  • NPI 1730533449

  Customized Equipment

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

• Mrs. Regina Ingram Carter Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2015.

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1982082525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 HAYNES BRIDGE RD",
            "address_2": "SUITE 401 ROOM 48",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091966",
            "telephone_number": "520-255-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 HAYNES BRIDGE RD",
            "address_2": "SUITE 401 ROOM 48",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091966",
            "telephone_number": "520-255-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELL",
        "first_name": "REGINA",
        "middle_name": "INGRAM",
        "name_prefix": "Mrs.",
        "credential": "MASTER COSMETOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "CARTER",
            "middle_name": "INGRAM",
            "prefix": "MRS.",
            "credential": "MASTER COSMETOLOGIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Alpharetta, GA
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.