GLADYS REA SMITH (NPI# 1528243508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528243508 |
| Entity Type | Organization |
| Organization Name | GLADYS REA SMITH |
| Other Organization Name | LADY M MASTECTOMY BOUTIQUE |
| Practice Address |
50 S Pickett St Suite 210 Alexandria VA 22304-7207 |
| Practice Telephone | 7034617534 |
| Mailing Telephone | 7034617534 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | GLADYS SMITH (OWNER) |
| Authorized Official Telephone | 7034617534 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | C18127 | MD | Suppliers |
| Other Name | Type Code |
|---|---|
| Lady M Mastectomy Boutique | Doing Business As Name - Organization |
| Street Address |
50 S PICKETT ST SUITE 210 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-7207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638601 | Danielle Sunday Dimieri | Social Worker | 50 S Pickett St, Suite 224, Alexandria, VA 22304-7207 | 2005-06-13 |
| 1386102804 | Fatmatta Angela Conteh | Nurse Practitioner | 50 S Pickett St, Alexandria, VA 22304-7207 | 2019-03-04 |
| 1285004572 | Donna Cyrus | Nurse Practitioner | 50 S Pickett St, Suite 221, Alexandria, VA 22304-7207 | 2015-09-30 |
| 1184000267 | Denise Kirkley-cain | Case Manager/Care Coordinator | 50 S Pickett St, Suite 204, Alexandria, VA 22304-7207 | 2015-07-30 |
| 1396136727 | Meron Taressa | Technician/Technologist | 50 S Pickett St, Suite #29, Alexandria, VA 22304-7207 | 2015-02-06 |
| 1386033215 | Oliver Opticians | Point of Service | 50 S Pickett St, 29, Alexandria, VA 22304-7207 | 2015-01-15 |
| 1659616712 | Doctors Home Health Care Agency | Home Health | 50 S Pickett St, 124, Alexandria, VA 22304-7207 | 2012-11-30 |
| 1104123900 | Duke Dental Care, Plc | Dentist | 50 S Pickett St, Suite 229, Alexandria, VA 22304-7207 | 2011-02-15 |
| 1023247194 | Cameron Hatam | Chiropractor | 50 S Pickett St, #114, Alexandria, VA 22304-7207 | 2009-07-09 |
| 1477723377 | Dependable Home Health Services, Inc | Home Health | 50 S Pickett St, Suite 200, Alexandria, VA 22304-7207 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| 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 |
|---|---|---|---|---|
| 1265804462 | Dynamic Orthotic Services, Inc. | Prosthetic/Orthotic Supplier | 201 E Fourth St, Suite 3g, Alexandria, LA 71301-8421 | 2015-10-27 |
| 1770621922 | Abana Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 1419 Peterman Dr, Alexandria, LA 71301-3433 | 2007-02-01 |
| 1366593022 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1404 Jackson St, Alexandria, LA 71301-6931 | 2007-01-16 |
| 1659374916 | Marvelles Apparel Inc | Prosthetic/Orthotic Supplier | 1804 S. Broadway, Ste #160, Alexandria, MN 56308 | 2005-05-31 |
| 1467832741 | Dr. Farhan M. Qureshi Dds PC | Prosthetic/Orthotic Supplier | 5206 Dawes Ave, Alexandria, VA 22311-1404 | 2015-06-02 |
| 1083899041 | Advance Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 510 22nd Ave E, Ste 801, Alexandria, MN 56308-4653 | 2008-01-08 |
| 1770639767 | Gladys Rea Smith | Prosthetic/Orthotic Supplier | 50 S Pickett St, Suite 210, Alexandria, VA 22304-7206 | 2007-01-25 |
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|---|---|---|---|---|
| 1548869324 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 4057 Taylor Rd Ste P, Chesapeake, VA 23321-5527 | 2020-10-22 |
| 1982203709 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 211 Bulifants Blvd Ste B, Williamsburg, VA 23188-5741 | 2020-10-22 |
| 1225637028 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 6251 E Virginia Beach Blvd Ste 135, Norfolk, VA 23502-2824 | 2020-10-22 |
| 1326657818 | Hairsonality Rx | Prosthetic/Orthotic Supplier | 110 Coliseum Xing # 5126, Hampton, VA 23666-5971 | 2020-07-30 |
| 1699393850 | Bionic Innovations LLC | Prosthetic/Orthotic Supplier | 896 Haden Ln, Crozet, VA 22932-2833 | 2020-07-13 |
| 1821610361 | Takeria Lewis | Prosthetic/Orthotic Supplier | 300 Karl Linn Dr Apt 115, North Chesterfield, VA 23225-6979 | 2020-05-06 |
| 1033740139 | Hair Saviours | Prosthetic/Orthotic Supplier | 25 Cornerstone Dr, Stafford, VA 22554-6208 | 2020-01-28 |
| 1689212078 | Monica Evette Dickenson | Prosthetic/Orthotic Supplier | 2001 Southampton St, Woodbridge, VA 22191-2660 | 2019-12-16 |
| 1588202105 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 7301 Forest Ave Ste 202, Richmond, VA 23226-3792 | 2019-12-13 |
| 1396388187 | Seven Degree North Hair | Prosthetic/Orthotic Supplier | 700 Lombardy Ave Apt 7402, Newport News, VA 23606-3367 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.