BIRCH BOUTIQUE LLC — NPI 1154045888 (Licensed & Credentialed Mastectomy Fitter in ANTIGO, WI)

Plain-English Taxonomy Translation (224900000X)

What Does Taxonomy Code 224900000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224900000X translates in plain language to:
"Licensed & Credentialed Mastectomy Fitter"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Mastectomy Fitter for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with BIRCH BOUTIQUE LLC:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic & Prescribing Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1154045888 (NPI-2 Organization / Facility)
Provider / Legal Name	BIRCH BOUTIQUE LLC
Plain-English Specialty	Licensed & Credentialed Mastectomy Fitter NUCC Code: `224900000X` (Mastectomy Fitter)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	612 CLEMONT ST, STE #8, ANTIGO, WI, 544091988
Practice Telephone / Fax	Tel: 715-350-7174 \| Fax: 715-716-4330
Administrative Mailing Address	612 CLEMONT ST, ANTIGO, WI, 544091988
Enumeration & Last Sync	Enumerated: 2022-09-27 \| Updated: 2024-02-29
Authorized Official	GRETA TOMANY (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

612 CLEMONT ST, STE #8, ANTIGO, WI, 544091988

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Durable Medical Equipment & Medical Supplies	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`224900000X` — Mastectomy Fitter Plain English: Licensed & Credentialed Mastectomy Fitter	State: N/A \| License: Verified \| Primary Taxonomy: Yes

BIRCH BOUTIQUE LLC (NPI #1154045888)