Active NPI
Sandra J Jones, C.R.N.P.
- Nurse Practitioner
- Zanesville, OH
National Provider Identifier
1003915141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN-187121
- Practice address
- 2800 Maple Avenue
Zanesville, OH 43701-1716 - Phone
- (740) 454-4788
- Fax
- (740) 450-6157
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN-187121 | OH | Primary |
Addresses
Primary practice location
2800 Maple Avenue
Zanesville, OH 43701-1716
Mailing address
945 Bethesda Drive
Suite 200
Zanesville, OH 43701-1880
Phone (740) 454-4788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2371213 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-187121 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskingum Emergency Physicia | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Zanesville, OH
- NPI 1790791929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1003915141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 BETHESDA DRIVE",
"address_2": "SUITE 200",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011880",
"telephone_number": "740-454-4788",
"fax_number": "740-450-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MAPLE AVENUE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011716",
"telephone_number": "740-454-4788",
"fax_number": "740-450-6157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SANDRA",
"middle_name": "J",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "RN-187121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2371213",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.