Jrda Holdings, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

JRDA HOLDINGS, LLC

Practice address

106 Buckingham PL
Hewitt, TX 76643-4201

Phone

(469) 461-1515

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Heather Duncan

Title

Cfo

Phone

(214) 797-8330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1851013320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BUCKINGHAM PL",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766434201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BUCKINGHAM PL",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766434201",
            "telephone_number": "469-461-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRDA HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-797-8330"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mishelle Johnson Kochumuttom, PHARM. D
• Camille Plasek Koehler, PTA
• Amy Kyle, PT

• Prosthetic/Orthotic Supplier in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.