Tara Jessee Jewell, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

85539 Issued in SC

Practice address

207 Pinewood LN
Rock Hill, SC 29730-6115

Phone

(803) 370-9624

NPI assigned

Apr 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1770901209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PINEWOOD LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297306115",
            "telephone_number": "803-370-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PINEWOOD LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297306115",
            "telephone_number": "803-370-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "TARA",
        "middle_name": "JESSEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "SC",
            "license": "85539",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "SC",
            "license": "85539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Ann Jennings
• La'Tesha N Jennings
• Jett Medical, LLC
• Jewell Family and Elder Medicine PA
• James Lee Jewell, MD
• Carrie Jimison, RN, BSN
• Jjacks LLC
• JMS Resourses, Inc
• Jodi Hawes Physician LLC
• John W Floren DMD PA

• Home Health Registered Nurse in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Home Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.