Jewelride LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JEWELRIDE LLC

Practice address

2110 Troy Rd Ste G
Edwardsville, IL 62025-2549

Phone

(618) 250-4771

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Tapiwa Mupereki

Title

Co-Founder and Ceo

Phone

(618) 917-7372

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1679380109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 TROY RD STE G",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 TROY RD STE G",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252549",
            "telephone_number": "618-250-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELRIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "MUPEREKI",
        "authorized_official_first_name": "TAPIWA",
        "authorized_official_title_or_position": "CO-FOUNDER AND CEO",
        "authorized_official_telephone_number": "618-917-7372"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Triplett Janssen, OD
• Jeffrey S. Hammer, M.D., LLC
• Heather Sue Jenny, PT
• Cierra Janiece Jethro
• Jeremy Dean Jewell, PH.D.
• Shaun Padrick Johnson, PHARM.D.
• Cynthia Jones, DNP, RN
• Hannah M. Jordan, DO
• Hayden Joubert, RN
• Janis Clare Jurkus, AS-RM

• Non-emergency Medical Transport (VAN) in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.