Kalli M Jones, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP60691562 Issued in WA

Practice address

2844 W Edgewood Dr
Port Angeles, WA 98363-9510

Phone

(360) 460-9493

NPI assigned

Oct 26, 2009

Last updated

Mar 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kalli M Konopaski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kalli.jones.1@17609.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Port of Angels Pediatrics, PC

  dba Port of Angels Pediatrics

  • Pediatric Nurse Practitioner
  • Port Angeles, WA
  • NPI 1487186888

  Pediatrics

  NPD (past) Authorized official
• My Choices

  • Clinic/Center
  • Port Angeles, WA
  • NPI 1588107999
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1043546021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 W EDGEWOOD DR",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983639510",
            "telephone_number": "360-460-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 W EDGEWOOD DR",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983639510",
            "telephone_number": "360-460-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KALLI",
        "middle_name": "M",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "14383",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP60691562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516075",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALLI",
            "last_name": "KONOPASKI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lucille Johnston, PHARMD
• Brennan Carter Jones, CDPT
• Janene Cherie Jones, RPH
• Jennifer Jones
• Joshua CW Jones, M.D.
• Tyrelle Jones
• Patricia Jordan, LICSW
• Joseph a Urquia PS (Family Chiropractic Center)
• John None Joseph, ARNP
• Journey Bound Counseling LLC

• Pediatric Nurse Practitioner in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.