Organization Active NPI

Forever Fabulous Permanent Cosmetics

  • Other Specialist/Technologist
  • Tucson, AZ
National Provider Identifier
1225890155
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
FOREVER FABULOUS PERMANENT COSMETICS
Practice address
4525 E Skyline Dr Ste 105
Tucson, AZ 85718-1600
Phone
(520) 425-4258
NPI assigned
Jan 25, 2024
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valarie Polson
Title
Owner
Phone
(520) 425-4258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X NU Primary

Addresses

Primary practice location

4525 E Skyline Dr Ste 105
Tucson, AZ 85718-1600

Mailing address

4525 E Skyline Dr Ste 105
Tucson, AZ 85718-1600
Phone (520) 425-4258

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1225890155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 E SKYLINE DR STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181600",
            "telephone_number": "520-425-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 E SKYLINE DR STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181600",
            "telephone_number": "520-425-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER FABULOUS PERMANENT COSMETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "POLSON",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-425-4258"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.