Renee Shantel Jones, RN, BSN, IBCLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

210378 Issued in RI

Practice address

205 Business Park Dr
Suite 104
Virginia Beach, VA 23462-6535

Phone

(757) 422-5502

Fax

(757) 455-8055

NPI assigned

Apr 15, 2013

Last updated

Apr 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tidewater Lactation Group, Inc.

  • Lactation Consultant (Registered Nurse)
  • Virginia Beach, VA
  • NPI 1790999621
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1043653546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 RICHARD SHAW RD",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588625",
            "telephone_number": "252-435-6055",
            "fax_number": "757-455-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BUSINESS PARK DR",
            "address_2": "SUITE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626535",
            "telephone_number": "757-422-5502",
            "fax_number": "757-455-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RENEE",
        "middle_name": "SHANTEL",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "210378",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "10926412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nydra Jones
• Pamela Jones
• Pamela Lynne Jones, COTA
• Rashida A Jones, PSY.D.
• Rebecca Ridout Jones, LPC
• Ronald H Jones, MD
• Shamir Jones
• Shane Jones, RBT
• Shariya Jones
• Shelly Jones, MSW

• Registered Nurse in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.