Pretty Passion

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

PRETTY PASSION

Practice address

2524 E Highway 76 Unit G
Marion, SC 29571-5301

Phone

(843) 618-2903

NPI assigned

Mar 1, 2024

Last updated

Mar 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffaney Shardai Clemmons

Title

Owner

Phone

(843) 618-2903

Specialties & licenses 1

Addresses

Other names 1

• Pretty Passion LLC Former legal business name

Locations

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1922865427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 E HIGHWAY 76 UNIT G",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295715301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E HIGHWAY 76 UNIT G",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295715301",
            "telephone_number": "843-618-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETTY PASSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "CLEMMONS",
        "authorized_official_first_name": "TIFFANEY",
        "authorized_official_middle_name": "SHARDAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-618-2903"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pretty Passion LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Prosthetist in Marion, SC
• Providers in Marion, SC by specialty
• Prosthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.