Organization Active NPI

Jones Family Practice, P.a.

  • Family Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1033664834
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
210062 Issued in NC
Legal business name
JONES FAMILY PRACTICE, P.A.
Practice address
113 E Grover St
Shelby, NC 28150-3803
Phone
(704) 487-5228
Fax
(704) 482-4284
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Brenda Kay Blevins, CMPM
Title
Practice Manager
Phone
(704) 487-5228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 210062 NC Primary

Addresses

Primary practice location

113 E Grover St
Shelby, NC 28150-3803

Mailing address

113 E Grover St
Shelby, NC 28150-3803
Phone (704) 487-5228

National Provider Directory

National Provider Directory

Locations

400 Shadowline Dr
Ste 103
Boone, NC 28607

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1033664834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503803",
            "telephone_number": "704-487-5228",
            "fax_number": "704-482-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503803",
            "telephone_number": "704-487-5228",
            "fax_number": "704-482-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "704-487-5228",
        "authorized_official_credential": "CMPM"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "210062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.