Atalaya Fits Boutique LLC

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Legal business name

ATALAYA FITS BOUTIQUE LLC

Practice address

1530 Highmarket St
Georgetown, SC 29440-3121

Phone

(843) 833-8006

Fax

(843) 833-8014

NPI assigned

Feb 10, 2026

Organization subpart

No

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

Authorized official

Name

Diona A Leak, CMFNPI 1912864224

Title

Owner

Phone

(843) 359-2533

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diona Leak, CMF

  • Mastectomy Fitter
  • Georgetown, SC
  • NPI 1912864224
  NPD Authorized official

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1629920004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 CALHOUN DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406522",
            "telephone_number": "843-359-2533",
            "fax_number": "843-833-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 HIGHMARKET ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403121",
            "telephone_number": "843-833-8006",
            "fax_number": "843-833-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATALAYA FITS BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "LEAK",
        "authorized_official_first_name": "DIONA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-359-2533",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Annicchiarico
• Joseph Annichiarico, D.O.
• Apex Professional Care
• Assisted Home Care LLC
• Associated Pathologists LLC
• Motaz Baibars, M.D.
• Sachi Baird
• Brandy P Baker, P.A.
• Laurence Havens Ballou Jr., MD
• Lyle Barker, D.C.

• All providers in Georgetown, SC
• Mastectomy Fitter in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.