Organization Active NPI

Nu Elegance Hair Palace

  • Prosthetic/Orthotic Supplier
  • Sierra Vista, AZ
National Provider Identifier
1609326131
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
10901826 Issued in AZ
Legal business name
NU ELEGANCE HAIR PALACE
Practice address
640 E Fry Blvd
Sierra Vista, AZ 85635-1825
Phone
(520) 216-0081
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Tiffany Hall, CERTIFIED HAIR LOSS
Title
Certified Hair Loss Specialist
Phone
(520) 224-5054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 10901826 AZ Primary

Addresses

Primary practice location

640 E Fry Blvd
Sierra Vista, AZ 85635-1825

Mailing address

640 E Fry Blvd
Sierra Vista, AZ 85635-1825
Phone (520) 216-0081

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1609326131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E FRY BLVD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351825",
            "telephone_number": "520-216-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E FRY BLVD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351825",
            "telephone_number": "520-216-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU ELEGANCE HAIR PALACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "520-224-5054",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AZ",
            "license": "10901826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.