Individual provider Active NPI

Rae Ann Michelle Jones-Dragon, LPN

  • Licensed Practical Nurse
  • Ashtabula, OH
National Provider Identifier
1003176256
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN.137203-M-IV Issued in OH
Practice address
128 Minnesota Ave
Ashtabula, OH 44004-3740
Phone
(440) 813-2330
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.137203-M-IV OH Primary

Addresses

Primary practice location

128 Minnesota Ave
Ashtabula, OH 44004-3740

Mailing address

128 Minnesota Ave
Ashtabula, OH 44004-3740
Phone (440) 813-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN.137203-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1003176256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MINNESOTA AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043740",
            "telephone_number": "440-813-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MINNESOTA AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043740",
            "telephone_number": "440-813-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-DRAGON",
        "first_name": "RAE ANN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.137203-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.