BUTTERFLY BOUTIQUE, LLC (NPI# 1053623157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053623157 |
| Entity Type | Organization |
| Organization Name | BUTTERFLY BOUTIQUE, LLC |
| Practice Address |
1950 E 70th St Suite G Shreveport LA 71105-5345 |
| Mailing Address |
1950 E 70th St Ste G Shreveport LA 71105-5345 |
| Practice Telephone | 3187985991 |
| Practice Fax Number | 3187985992 |
| Mailing Telephone | 3187985991 |
| Mailing Fax Number | 3187985992 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | CHERIE BYERS (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 3187985991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | C49850 | LA | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Butterfly Boutique, LLC | 4867 Bluegate Drive, Highlands Ranch, CO 80130 |
| Street Address |
1950 E 70TH ST SUITE G |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124482617 | Magnolia Medical LLC | Durable Medical Equipment & Medical Supplies | 1950 E 70th St, Suite H, Shreveport, LA 71105-5345 | 2016-04-11 |
| 1508295379 | Dana Williams | Speech-Language Pathologist | 1950 E 70th St, Ste C, Shreveport, LA 71105-5345 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295242311 | Romunda Lockett | Prosthetic/Orthotic Supplier | 902 Pierre Ave, Shreveport, LA 71103-2828 | 2018-01-10 |
| 1841427788 | Magnolia Durable Medical Equipment Inc. | Prosthetic/Orthotic Supplier | 2005 Creswell Street, Shreveport, LA 71104-2201 | 2009-06-18 |
| 1093963878 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 8730 Youree Dr, Building A, Shreveport, LA 71115-2518 | 2008-09-04 |
| 1316195795 | Riffle Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 1938 E 70th St, Suite D, Shreveport, LA 71105-5340 | 2008-08-28 |
| 1982867032 | Arnold O & P Lab, Inc | Prosthetic/Orthotic Supplier | 619 Jordan Street, Shreveport, LA 71101 | 2008-07-09 |
| 1548447568 | Kitty A Roark. | Prosthetic/Orthotic Supplier | 855 Pierremont Rd Ste 126, Shreveport, LA 71106-2074 | 2008-01-22 |
| 1851442503 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1833 Line Ave, Shreveport, LA 71101-4611 | 2007-01-16 |
| 1811961436 | Promyse-prosthetic Orthotic Group | Prosthetic/Orthotic Supplier | 3227 Portland Ave, Shreveport, LA 71103-4026 | 2006-02-13 |
| 1235139098 | Red River Orthotic Specialists, LLC | Prosthetic/Orthotic Supplier | 820 Jordan St, Suite 110, Shreveport, LA 71101-4518 | 2005-07-22 |
| 1912303330 | Pediatric Orthotic and Prosthetic Services-southeast, LLC | Prosthetic/Orthotic Supplier | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2014-11-12 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.