Andrea Rose Jones

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

251S00000X Issued in CA

Practice address

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

Phone

(707) 765-8488

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Petaluma People Services Center

  • Community/Behavioral Health Agency
  • Petaluma, CA
  • NPI 1396951430
  NPD (past)
• Petaluma People Services Center

  • Community/Behavioral Health Agency
  • Petaluma, CA
  • NPI 1558405126
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1083334437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17463 SUMMIT AVE",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954469097",
            "telephone_number": "831-601-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PETALUMA BLVD S",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525545",
            "telephone_number": "707-765-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANDREA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "94-2271299",
            "affiliation": "Y",
            "endpointDescription": "PPSC",
            "affiliationName": "Petaluma People Services Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 Petaluma Blvd S",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949525545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyra A Johnson, RBT
• Mariah Johnson
• Michael Alan Johnson, DPM
• Tony L. Johnson, MFT
• Alina Jones
• Ashley Nicole Jones
• Michael W. Jones, D.D.S.
• Steven Gerald Jones, D.C.
• Whitney Arvilla Jones
• William Jones III

• Student in an Organized Health Care Education/Training Program in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.