Jonellda Educational Services

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

JONELLDA EDUCATIONAL SERVICES

Practice address

113 S Liberty St
Bennettsville, SC 29512-4076

Phone

(843) 544-7179

NPI assigned

Sep 24, 2017

Organization subpart

No

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

Authorized official

Name

Amanda Kelly

Title

Owner

Phone

(843) 544-7179

Specialties & licenses 2

Addresses

Other names 1

• Jonellda Educational Services Doing business as

Locations

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506211200000",
    "number": "1811406705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 ADAMSVILLE RD N",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295125905",
            "telephone_number": "843-544-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S LIBERTY ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295124076",
            "telephone_number": "843-544-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONELLDA EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-24",
        "last_updated": "2017-09-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-544-7179"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonellda Educational Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Scott Johnson, O.D.
• Renesha Johnson, BS-PSYCHOLOGY
• Rhonda Johnson
• Robert Duren Johnson Jr., MD
• Scott Johnson
• Linda K. Jones
• Patricia Dena Jordan, MED
• Carla Redding Julian, PHARMD
• Mathew Kadalikattil Thomas, MD
• Nathan Kale

• Health Educator in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Health Educator in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2017; 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.