Nea Electrolysis LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEA ELECTROLYSIS LLC

Practice address

1903 Grant Ave Ste H
Jonesboro, AR 72401-6198

Phone

(262) 227-2576

NPI assigned

May 12, 2026

Last updated

May 12, 2026By 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

Autumn DildineNPI 1013848605

Title

Licensed Electrologist

Phone

(262) 227-2576

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Autumn Gail Dildine

  • Other Specialist/Technologist
  • Jonesboro, AR
  • NPI 1013848605
  NPD Authorized official

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1073441648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BROADWAY CV APT 10",
            "city": "MAYNARD",
            "state": "AR",
            "postal_code": "724449201",
            "telephone_number": "262-227-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 GRANT AVE STE H",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016198",
            "telephone_number": "262-227-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEA ELECTROLYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "DILDINE",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "LICENSED ELECTROLOGIST",
        "authorized_official_telephone_number": "262-227-2576"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.