Nicole D Jennings, HAIR LOSS SPECIALIST

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

920 Saint Andrews Rd Ste 2&3
Columbia, SC 29210-5816

Phone

(803) 312-4850

NPI assigned

Apr 15, 2019

Last updated

Apr 15, 2019By 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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1700449964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TROTTER CT",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788734",
            "telephone_number": "803-312-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SAINT ANDREWS RD STE 2&3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105816",
            "telephone_number": "803-312-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "NICOLE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jennings, DC
• Gloria Jean Jennings
• Landon S Jennings, OTR/L
• Mahogony Jennings
• Ned Jennings, DMD
• Shamea Jennings, BEHAVIOR TECHNICIAN
• Shelby Brooke Jennings, OT
• William Russell Jennings Jr., MD
• Jennys Angels
• Kristian Ardis Jensen, PHARMD

• Prosthetist in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.