Jump Start U Too

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

062724-2 Issued in SC

Legal business name

JUMP START U TOO

Doing business as

Katie L. Riley

Practice address

4120 Main St
Columbia, SC 29203-5862

Phone

(803) 691-0096

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Katie L. Riley, BS

Title

Executive Director

Phone

(803) 691-0096

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KATIE L. RILEY Doing business as

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760696926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035862",
            "telephone_number": "803-691-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035862",
            "telephone_number": "803-691-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START U TOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-691-0096",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "062724-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2514",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KATIE L. RILEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Judy
• Noel Juett, APRN, CNM
• McKenna Jule, DO
• Carine Jules, LPN
• Sara Elizabeth Julian, MD
• Allanah June, RBT
• Anil Kumar Juneja, M.D.
• Jennifer Junior
• Lindsey Marie Junk, MD
• Ulysses Sacay Juntilla, PT

• Durable Medical Equipment & Medical Supplies in Columbia, SC
• Providers in Columbia, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.