Provider Demographics
NPI:1568244093
Name:JAKYVE CONSULTING, LLC
Entity Type:Organization
Organization Name:JAKYVE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VEOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY-AMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:803-479-0413
Mailing Address - Street 1:423 CONCORD PLACE RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7806
Mailing Address - Country:US
Mailing Address - Phone:803-479-0413
Mailing Address - Fax:
Practice Address - Street 1:423 CONCORD PLACE RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7806
Practice Address - Country:US
Practice Address - Phone:803-479-0413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health