Roberta'S Lovely Ladies Boutique
NPI 1174983050 · Mastectomy Fitter · Alton, IL
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic-Prosthetic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roberta'S Lovely Ladies Boutique is a Mastectomy Fitter organization in Alton, IL (NPI 1174983050).
Provider details
- NPI number
- 1174983050
- Entity type
- Organization
- Primary specialty
- Mastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Carol Logan, Owner(618) 467-0095
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-03-04
- Last updated
- 2016-03-04
Frequently asked questions
- What is Roberta'S Lovely Ladies Boutique's NPI number?
- Roberta'S Lovely Ladies Boutique's National Provider Identifier (NPI) is 1174983050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roberta'S Lovely Ladies Boutique?
- Roberta'S Lovely Ladies Boutique is classified in the NPPES registry as Mastectomy Fitter (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Roberta'S Lovely Ladies Boutique located?
- Roberta'S Lovely Ladies Boutique's practice location on file with NPPES is 603 W. Delmar, Alton, IL 62002.
- What is Roberta'S Lovely Ladies Boutique's phone number?
- The practice phone number listed in the NPPES registry for Roberta'S Lovely Ladies Boutique is (618) 467-0640.
- Does Roberta'S Lovely Ladies Boutique accept Medicare?
- Roberta'S Lovely Ladies Boutique is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Roberta'S Lovely Ladies Boutique?
- The authorized official listed on Roberta'S Lovely Ladies Boutique's NPPES record is Carol Logan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roberta'S Lovely Ladies Boutique's NPI active?
- Yes — Roberta'S Lovely Ladies Boutique's NPI (1174983050) is active in the NPPES registry as of the last update on 2016-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.