Organization Active NPI

Emma Jewel Charter School Inc.

Doing business as Emma Jewel Charter Academy

  • Local Education Agency (LEA)
  • Cocoa, FL
National Provider Identifier
1255109880
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
EMMA JEWEL CHARTER SCHOOL INC.
Doing business as
Emma Jewel Charter Academy
Practice address
705 Blake Ave
Cocoa, FL 32922-7150
Phone
(321) 634-5462
Fax
(321) 634-5465
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Mary K Karnetsky
Title
Assistant Principal
Phone
(321) 634-5462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

705 Blake Ave
Cocoa, FL 32922-7150

Mailing address

705 Blake Ave
Cocoa, FL 32922-7150
Phone (321) 634-5462

Other names 1

  • Emma Jewel Charter Academy Doing business as

National Provider Directory

National Provider Directory

Locations

705 Blake Ave
Cocoa, FL 32922
Phone (321) 634-5462

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1255109880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BLAKE AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227150",
            "telephone_number": "321-634-5462",
            "fax_number": "321-634-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BLAKE AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227150",
            "telephone_number": "321-634-5462",
            "fax_number": "321-634-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMA JEWEL CHARTER SCHOOL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "KARNETSKY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASSISTANT PRINCIPAL",
        "authorized_official_telephone_number": "321-634-5462"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emma Jewel Charter Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.