Mane & Taill Therapeutic Horsemanship Academy

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

MANE & TAILL THERAPEUTIC HORSEMANSHIP ACADEMY

Practice address

147 Colonial Beach Rd
Jarvisburg, NC 27947-9704

Phone

(252) 489-1774

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Miss Samantha Karen Iulo

Title

Certified Path Instructor

Phone

(252) 489-1774

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1356627939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 COLONIAL BEACH RD",
            "city": "JARVISBURG",
            "state": "NC",
            "postal_code": "27947",
            "telephone_number": "252-489-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 COLONIAL BEACH RD",
            "city": "JARVISBURG",
            "state": "NC",
            "postal_code": "279479704",
            "telephone_number": "252-489-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANE & TAILL THERAPEUTIC HORSEMANSHIP ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "IULO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "CERTIFIED PATH INSTRUCTOR",
        "authorized_official_telephone_number": "252-489-1774",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Taylor Cohen
• Lauren Nicole Crocker, FNP-C
• Gaston Family Health Services, Inc.
• Grandy Family Medicine PC
• Madeline Kiousis
• Stacie M Medlin, LCSW
• James Lee Owens, MD
• Jessica Penson-Heyder, LCSW
• Jane Arlene Randall, PNP
• Karen Tejano, MSCP, LCMHC, LCAS

• Community Health Worker in Jarvisburg, NC
• Providers in Jarvisburg, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.