Jurell Coach

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

320 Edgewood CT
North Augusta, SC 29841-3530

Phone

(803) 640-3179

NPI assigned

Jun 25, 2021

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1386214179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EDGEWOOD CT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413530",
            "telephone_number": "803-640-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EDGEWOOD CT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413530",
            "telephone_number": "803-640-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COACH",
        "first_name": "JURELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Cheatham
• Joshua Caleb Childers, PHARMD
• Megan Childers, PHARMD
• Matthew Taylor Clark, M.D.
• Marina Joanne Clements, DPT
• Leslie M Cobb, EDS, LPC
• Melanie Norton Cochran, M.P.T
• Jessica Collins, MA-CCC
• Comfort Corner Home Care LLC
• Charlaine Conger, FNP-C

• Athletic Trainer in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.