Individual provider Active NPI

Rose M Malone-Jones, CNS

  • Community Health/Public Health Clinical Nurse Specialist
  • Dayton, OH
National Provider Identifier
1053437061
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X
License
NS-08913 Issued in OH
Practice address
301 W 1St St
Suite 100
Dayton, OH 45402-3033
Phone
(937) 461-0800
Fax
(937) 496-0171
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X NS-08913 OH Primary

Addresses

Primary practice location

301 W 1St St
Suite 100
Dayton, OH 45402-3033

Mailing address

1550 Cedar Bark TRL Unit 11
West Carrollton, OH 45449-2584
Phone (937) 751-6742

Other identifiers 1

IdentifierTypeStateIssuer
3047689MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rmalonejones570054@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
NS-08913OHMDCommunity Health/Public Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1053437061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 CEDAR BARK TRL UNIT 11",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454492584",
            "telephone_number": "937-751-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 1ST ST",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454023033",
            "telephone_number": "937-461-0800",
            "fax_number": "937-496-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE-JONES",
        "first_name": "ROSE",
        "middle_name": "M",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "OH",
            "license": "NS-08913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3047689",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmalonejones570054@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "301 W 1st St",
            "address_2": "Suite 100",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454023033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "301 W 1st St",
            "address_2": "Suite 100",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454023033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.