Individual provider Active NPI

Kevin Jones, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1083958771
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13826263-4405 Issued in UT
Practice address
9350 150 E
Suite 320
Sandy, UT 84070-2715
Phone
(385) 758-7322
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13314 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5019687 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP241321 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24190507 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13826263-8900 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1170644 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112013-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13826263-4405 UT Primary

Addresses

Primary practice location

9350 150 E
Suite 320
Sandy, UT 84070-2715

Mailing address

9350 150 E
Suite 320
Sandy, UT 84070-2715
Phone (385) 352-6969

Other practice location 1

26 Island Ave
Kittery, ME 03904-1614
Phone (385) 406-4448

Other practice location 2

4860 Cox Rd Ste 200
Glen Allen, VA 23060-9248
Phone (385) 406-4448

Other practice location 3

1950 Lafayette Rd Ste 204
Portsmouth, NH 03801-8864
Phone (385) 406-4448

Other practice location 4

366-386 Main Street
Ste 509
Middletown, CT 06457
Phone (385) 406-4448

Other practice location 5

615 Saint George Square Ct Ste 300
Winston Salem, NC 27103-1368
Phone (888) 279-0002

Other names 1

  • Dr. Kevin Jones Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13314CTMDPsychiatric/Mental Health Nurse Practitioner
CNP241321MEMDPsychiatric/Mental Health Nurse Practitioner
5019687NCMDPsychiatric/Mental Health Nurse Practitioner
112013-23NHMDPsychiatric/Mental Health Nurse Practitioner
1170644TXMDPsychiatric/Mental Health Nurse Practitioner
13826263-4405UTMDPsychiatric/Mental Health Nurse Practitioner
13826263-8900UTMDPsychiatric/Mental Health Nurse Practitioner
24190507VAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1083958771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 150 E",
            "address_2": "SUITE 320",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702715",
            "telephone_number": "385-352-6969",
            "fax_number": "385-469-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 150 E",
            "address_2": "SUITE 320",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702715",
            "telephone_number": "385-758-7322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Island Ave",
            "address_purpose": "LOCATION",
            "city": "Kittery",
            "state": "ME",
            "postal_code": "039041614",
            "country_code": "US",
            "telephone_number": "385-406-4448",
            "fax_number": "385-469-3919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4860 Cox Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230609248",
            "country_code": "US",
            "telephone_number": "385-406-4448",
            "fax_number": "385-469-3919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Lafayette Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038018864",
            "country_code": "US",
            "telephone_number": "385-406-4448",
            "fax_number": "385-469-3919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "366-386 MAIN STREET",
            "address_2": "STE 509",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "06457",
            "country_code": "US",
            "telephone_number": "385-406-4448",
            "fax_number": "385-469-3919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Saint George Square Ct Ste 300",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031368",
            "country_code": "US",
            "telephone_number": "888-279-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13314",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019687",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP241321",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "24190507",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "13826263-8900",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1170644",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "112013-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "13826263-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "JONES",
            "prefix": "DR.",
            "credential": "PNHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.