Individual provider Active NPI

Corretta Kilpatrick Jones, RN

  • Registered Nurse
  • Memphis, TN
National Provider Identifier
1023956802
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
116156 Issued in TN
Practice address
4744 Dodd Rd
Memphis, TN 38109-6176
Phone
(901) 219-6914
Fax
(866) 422-5933
NPI assigned
Mar 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 116156 TN Primary

Addresses

Primary practice location

4744 Dodd Rd
Memphis, TN 38109-6176

Mailing address

5188 Sunny Autumn LN
Memphis, TN 38125-4513
Phone (901) 219-6914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4744 Dodd Rd
Memphis, TN 38109-6176

5188 Sunny Autumn LN
Memphis, TN 38125-4513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
116156TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Centre of Pioneers Adult Daycare Services Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1023956802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5188 SUNNY AUTUMN LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254513",
            "telephone_number": "901-219-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 DODD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381096176",
            "telephone_number": "901-219-6914",
            "fax_number": "866-422-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK JONES",
        "first_name": "CORRETTA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "116156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.