BETTY'S BOUTIQUE (NPI# 1770760654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770760654 |
| Entity Type | Organization |
| Organization Name | BETTY'S BOUTIQUE |
| Practice Address |
414 Overhill Rd Knoxville TN 37914-4328 |
| Practice Telephone | 8655257412 |
| Practice Fax Number | 8655257412 |
| Mailing Telephone | 8655257412 |
| Mailing Fax Number | 8655257412 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | MRS. BETTY SHERROD (OWNER) |
| Authorized Official Telephone | 8655257412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
414 OVERHILL RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37914-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528594645 | Emory Boykins Young II | Counselor | 3535 Ne Kenilworth Ln, Knoxville, TN 37914 | 2017-05-10 |
| 1487079513 | E and K Taxi | Taxi | 1423 Fifth Ave, Knoxville, TN 37914 | 2014-02-26 |
| 1154768836 | G Way Transit | Non-emergency Medical Transport (VAN) | 513 Carta Rd., Knoxville, TN 37914 | 2013-06-04 |
| 1346511581 | Carroll W Mcginnis | Family Medicine | 9108 Brownlow Newman Ln., Knoxville, TN 37914 | 2012-01-19 |
| 1912212879 | Scarlett Marie Mynatt | Registered Nurse | 7051 Straw Plains Pike, Knoxville, TN 37914 | 2010-08-16 |
| 1356570964 | Steven Dwight Shults | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Knoxville, TN 37914 | 2009-07-06 |
| 1417152695 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4529 Asheville Highway, Knoxville, TN 37914 | 2007-06-18 |
| 1639600521 | Dana Leann Byrge | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Nhc, Knoxville, TN 37914 | 2017-03-23 |
| 1861703316 | Narendra R Patel | Pharmacist | 4423 Asheville Hwy, Knoxville, TN 37914 | 2010-06-30 |
| 1346705506 | Jennifer Bolden | Psychologist | 5217 Brig Ln, Knoxville, TN 37914-2824 | 2019-02-01 |
| Find all providers in zip 37914 | ||||
| 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 |
|---|---|---|---|---|
| 1154955268 | A Step Ahead Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909-1327 | 2020-02-27 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
| 1437692548 | Victory Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 9051 Executive Park Dr Ste 100, Knoxville, TN 37923-4651 | 2016-11-21 |
| 1083985014 | Paul Gary Lakins Ah-mazing Orthotics | Prosthetic/Orthotic Supplier | 151 Sherway Rd Ste 2, Knoxville, TN 37922-2236 | 2012-01-23 |
| 1073680591 | Regina Nannette Cox | Prosthetic/Orthotic Supplier | 6618 Bay Circle Dr, Knoxville, TN 37918-9109 | 2006-11-29 |
| 1902993124 | Akbk | Prosthetic/Orthotic Supplier | 10932 Murdock Dr, Suite 105a, Knoxville, TN 37932-3239 | 2006-10-09 |
| 1306933130 | Specialty Medical | Prosthetic/Orthotic Supplier | 7815 B Oak Ridge Hwy, Knoxville, TN 37931-2314 | 2006-10-05 |
| 1083727358 | Akbk | Prosthetic/Orthotic Supplier | 4503 Walker Blvd, Knoxville, TN 37917-1526 | 2006-08-17 |
| 1932640992 | Fredrick M Avery | Prosthetic/Orthotic Supplier | 2900 Sutherland Ave, Knoxville, TN 37919-4536 | 2017-03-10 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on BETTY'S BOUTIQUE.
| 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.