Roberta Lynn Jones, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

33046 Issued in WV

Practice address

1 Baker PL
Keyser, WV 26726-2824

Phone

(304) 788-4200

NPI assigned

Apr 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Mineral County Board of Education

  • Local Education Agency (LEA)
  • Keyser, WV, WV
  • NPI 1639348451
  NPD (past)
• Mineral County Board of Education

  • Local Education Agency (LEA)
  • Keyser, WV
  • NPI 1710175591
  NPD (past)

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1043483548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 75 BOX 172",
            "city": "NEW CREEK",
            "state": "WV",
            "postal_code": "267439716",
            "telephone_number": "304-788-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAKER PL",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262824",
            "telephone_number": "304-788-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERTA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "33046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9702095000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Sue Johnston
• Breana Leigh Jones, CRNP
• Brooke M Jones, DPT
• Frances Lee Jones
• Jada Faith Jones
• Shanea Louise Jones
• Jonova Passion Jordan
• Joy E Cousins D O Co
• Kimberly Ann Judy
• Elaine Mary Keane, OTRL

• All providers in Keyser, WV
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.