Individual provider Active NPI

Kimberly D Jones, NP

  • Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1093792228
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP.06573 Issued in OH
Practice address
5130 Bradenton Ave Ste a
Dublin, OH 43017-7068
Phone
(614) 734-1100
Fax
(614) 734-1900
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP.06573 OH Primary

Addresses

Primary practice location

5130 Bradenton Ave Ste a
Dublin, OH 43017-7068

Mailing address

5130 Bradenton Ave Ste a
Dublin, OH 43017-7068
Phone (614) 734-1100

Other identifiers 1

IdentifierTypeStateIssuer
2378216MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309001030 OH Practitioner - Nurse Practitioner 1456305689 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP.06573OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jun 23, 2014 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Ohiohealth Corporation CurrentSince Jun 23, 2014 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

291 W Schrock Rd
Westerville, OH 43081
Phone (614) 901-2273

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

Interoperability endpoints

  • Direct secure messaging: kjones19231@copcp.medicity.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1093792228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 BRADENTON AVE STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177068",
            "telephone_number": "614-734-1100",
            "fax_number": "614-734-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 BRADENTON AVE STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177068",
            "telephone_number": "614-734-1100",
            "fax_number": "614-734-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP.06573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2378216",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.