Individual provider Active NPI

Jessica Leigh Ionno, NP

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1053514612
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22415 Issued in SC
Practice address
3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone
(843) 350-1124
Fax
(877) 452-8854
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22415 SC Primary
Midwife 176B00000X 22415 SC

Addresses

Primary practice location

3725 Renee Dr
Myrtle Beach, SC 29579-4109

Mailing address

3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone (843) 350-1124

Other names 1

  • Jessica Leigh Liesveld Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.ionno.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200107003501 SC Practitioner - Certified Nurse Midwife (CNM) 0345313110 Reassigns benefits to 7 organizations
I20201007001111 SC Practitioner - Nurse Practitioner 0345313110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little River Medical Center IncGroup PAC ID 2961309315, shared by 7 NPIs, 38 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

1075 Mr Joe White Ave
Unit 101
Myrtle Beach, SC 29577-5658
Phone 84366380008294

3515 Caduceus Dr
Suite B
Myrtle Beach, SC 29588-2922
Phone (843) 663-8013

3817 Main St
Loris, SC 29569-3017
Phone (843) 663-8000

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone 84366380008294

4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8000

7724 N Kings Hwy
Myrtle Beach, SC 29572-3041
Phone (843) 663-8000

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22415SCMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Jan 15, 2020 Accepting new patients
Little River Medical Center, Inc. Family CurrentSince Apr 1, 2021 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince May 1, 2020 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Little River Medical Center Inc Family CurrentSince Apr 1, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jan 15, 2020 Accepting new patients
Little River Medical Center, Inc CurrentSince Apr 1, 2021 Accepting new patients
Little River Medical Center, Inc. Family CurrentSince Apr 1, 2021 Accepting new patients
Little River Medical Center, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Main Line Emergency Med Associates LLC Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

912 Inlet Square Dr
Murrells Inlt, SC 29576
Phone (843) 347-3334

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Interoperability endpoints

  • Direct secure messaging: jessica.ionno@lrmcenter.eclinicaldirectplus.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1053514612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONNO",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22415",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SC",
            "license": "22415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.ionno.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "jessica.ionno.1@29601.direct.athenahealth.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3725 Renee Dr",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295794109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LIESVELD",
            "middle_name": "LEIGH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.