SHEEK HAIR BOUTIQUE (NPI# 1255938452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255938452 |
| Entity Type | Organization |
| Organization Name | SHEEK HAIR BOUTIQUE |
| Practice Address |
1432 N Cedar Ave Apt 107 Fresno CA 93703-5303 |
| Practice Telephone | 5597120988 |
| Practice Fax Number | 5593697953 |
| Mailing Telephone | 5597120988 |
| Mailing Fax Number | 5593697953 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | MCKENZIE COLES (OWNER) |
| Authorized Official Telephone | 5597120988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
1432 N CEDAR AVE APT 107 |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| 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 |
|---|---|---|---|---|
| 1871191742 | Alcam Medical Inc. | Prosthetic/Orthotic Supplier | 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 | 2020-10-13 |
| 1376183848 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 30 E River Park Pl W Ste 280, Fresno, CA 93720-1547 | 2020-01-13 |
| 1558560839 | Donna Dye | Prosthetic/Orthotic Supplier | 1145 E Champlain Dr, Fresno, CA 93720-5010 | 2007-07-16 |
| 1356451462 | Meacham Ent Inc | Prosthetic/Orthotic Supplier | 323 W Cromwell, Ste 118, Fresno, CA 93711-5844 | 2006-08-30 |
| 1457366874 | Mckinlay Enterprises Inc | Prosthetic/Orthotic Supplier | 343 E Shaw Ave, Fresno, CA 93710-7609 | 2006-07-31 |
| 1487687083 | Helena Gibson | Prosthetic/Orthotic Supplier | 379 W Shaw Ave, Fresno, CA 93704-2647 | 2006-07-08 |
| 1164996658 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 7335 N 1st St Ste 109, Fresno, CA 93720-2968 | 2019-01-17 |
| 1033689831 | Capstone Orthopedic, Inc. | Prosthetic/Orthotic Supplier | 1247 E Alluvial Ave Ste 103, Fresno, CA 93720-2686 | 2018-12-05 |
| 1942697875 | Active 1 Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 295 W Cromwell Ave, Suite 102, Fresno, CA 93711-6167 | 2015-04-17 |
| 1558559484 | Robert Garland Dirksen | Prosthetic/Orthotic Supplier | 2039 N Fine Ave, Fresno, CA 93727-1512 | 2007-10-04 |
| Find all providers in FRESNO | ||||
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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.