Sassy Sistas Boutique LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SASSY SISTAS BOUTIQUE LLC

Practice address

851 W State Road 436 Ste 1005
Altamonte Springs, FL 32714-3055

Phone

(407) 383-0643

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Eboni Rainey-HaynesNPI 1639882426

Title

Co-Owner

Phone

(407) 383-0643

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Eboni Shavone Rainey-Haynes

  • Specialist
  • Altamonte Springs, FL
  • NPI 1639882426
  NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1730834771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W STATE ROAD 436 STE 1005",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143055",
            "telephone_number": "407-383-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W STATE ROAD 436 STE 1005",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143055",
            "telephone_number": "407-383-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASSY SISTAS BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "RAINEY-HAYNES",
        "authorized_official_first_name": "EBONI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "407-383-0643",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saphena Vein Clinic & Wellness Center, LLC
• Neville B Sarkari, M.D.
• Elizabeth Sarria, RBT
• Grace V Sarvotham, M.D.
• Elizabeth B Sasse, MD
• Rachel C Savard
• Laura Maged Sawires, DMD
• Emmanuel D Scarlatos, M.D.
• Brittani Schiller, RBT
• Kathleen Schmidt, ARNP

• Prosthetic/Orthotic Supplier in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.