Active NPI
High Praise Hair Boutique
- Prosthetics Case Management
- North Augusta, SC
National Provider Identifier
1023497054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 61556
- Legal business name
- HIGH PRAISE HAIR BOUTIQUE
- Practice address
- 139 Edgewood Drive
North Augusta, SC 29841 - Phone
- (803) 278-0605
- Fax
- (803) 278-1081
- NPI assigned
- May 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Aderina Michelle Lee
- Title
- Owner
- Phone
- (803) 278-0605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 61556 | SC | Primary |
Addresses
Primary practice location
139 Edgewood Drive
North Augusta, SC 29841
Mailing address
139 Edgewood Drive
North Augusta, SC 29841
Phone (803) 278-0605
National Provider Directory
National Provider DirectoryLocations
139 Edgewood Dr
North Augusta, SC 29841
Phone (803) 278-0605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432252800000",
"number": "1023497054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 EDGEWOOD DRIVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29841",
"telephone_number": "803-278-0605",
"fax_number": "803-278-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 EDGEWOOD DRIVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29841",
"telephone_number": "803-278-0605",
"fax_number": "803-278-1081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH PRAISE HAIR BOUTIQUE",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "ADERINA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-278-0605",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": "SC",
"license": "61556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.