NPIMap

Individual provider Active NPI

Kristina A Jones-Parker, FNP

  • Nurse Practitioner
  • Asheboro, NC
National Provider Identifier
1063757144
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012900 Issued in NC
Practice address
138 Dublin Square Rd Ste B
Asheboro, NC 27203-8601
Phone
(336) 610-1300
NPI assigned
Nov 30, 2012
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 659259 NY
Nurse Practitioner 363L00000X 5012900 NC Primary

Addresses

Primary practice location

138 Dublin Square Rd Ste B
Asheboro, NC 27203-8601

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (773) 644-3941

Other practice location 1

103 Country Club Dr
Fayetteville, NC 28301-7603
Phone (910) 400-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200409003747 NC Practitioner - Nurse Practitioner 7517396625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians
Horizon Internal Medicine PLLCGroup PAC ID 0446391544, 14 clinicians

Practice addresses (Care Compare)

103 Country Club Dr
Fayetteville, NC 28301-7603
Phone (910) 400-7002

138 Dublin Square Rd
Suite B
Asheboro, NC 27203-8601
Phone (336) 610-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
659259NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Internal Medicine PLLC CurrentSince Mar 1, 2020 Accepting new patients
Osh-Mi Physicians Group PC CurrentSince Jan 6, 2025 Accepting new patients
Ih Physician Services PC CurrentSince Jul 8, 2024 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Jan 6, 2025 Accepting new patients
Ih Physician Services, PC CurrentSince Jul 8, 2024 Accepting new patients
NC Elder Care PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

103 Country Club Dr
Fayetteville, NC 28301
Phone (910) 400-7002

1380 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 610-1300

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

100 Pavilion Way
Ste E4
Southern Pnes, NC 28387
Phone (910) 684-5078

Organizations & group practices 6

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1063757144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "773-644-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 DUBLIN SQUARE RD STE B",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038601",
            "telephone_number": "336-610-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283017603",
            "country_code": "US",
            "telephone_number": "910-400-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES-PARKER",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "659259",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.