Tawatha Dominique Jones

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

721 NW 20TH St
Moore, OK 73160-3405

Phone

(918) 780-8629

NPI assigned

Sep 11, 2014

Last updated

Sep 5, 2024By 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 1

Addresses

Other names 1

• Mrs. Tawatha Dominique Hunter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1053712885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 NW 20TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NW 20TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603405",
            "telephone_number": "918-780-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TAWATHA",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWATHA",
            "last_name": "HUNTER",
            "middle_name": "DOMINIQUE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jon E. Painter O.D.,P.C
• Michelle Irene Angelique Jonas
• Avery Jones
• Colin Daniel Jones, PT
• David L Jones
• William Jones
• Heather Christene Jordan, BS
• Joyce Faye's House
• Jasinto Juarez II
• Kyle R Judkins, M.D.

• Case Manager/Care Coordinator in Moore, OK
• Providers in Moore, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.