Active NPI
Keziah Jones, PH.D.
- Community Health/Public Health Clinical Nurse Specialist
- Fairburn, GA
National Provider Identifier
1104325653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health/Public Health Clinical Nurse Specialist
- License
- RN227487
- Practice address
- 15 Duke CT
Fairburn, GA 30213-8300 - Phone
- (813) 205-8901
- NPI assigned
- Feb 9, 2018
- Last updated
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | RN227487 | GA | Primary |
| Holistic Clinical Nurse Specialist | 364SH1100X | RN227487 | GA | |
| Counselor | 101Y00000X | NU | ||
| Social Worker | 104100000X | NU | ||
| Nutrition Education Nutritionist | 133NN1002X | NU | ||
| Registered Nurse | 163W00000X | RN227487 | GA | |
| Case Management Registered Nurse | 163WC0400X | RN227487 | GA | |
| Community Health Registered Nurse | 163WC1500X | RN227487 | GA | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN227487 | GA | |
| General Practice Registered Nurse | 163WG0000X | RN227487 | GA | |
| Home Health Registered Nurse | 163WH0200X | RN227487 | GA | |
| Nutrition Support Registered Nurse | 163WN1003X | RN227487 | GA | |
| Naturopath | 175F00000X | NU | ||
| Behavior Analyst | 103K00000X | NU | ||
| Prevention Professional | 405300000X | RN227487 | GA |
Addresses
Primary practice location
15 Duke CT
Fairburn, GA 30213-8300
Mailing address
15 Duke CT
Fairburn, GA 30213-8300
Phone (813) 205-8901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN227487 | Other | GA | NON PHYSICIAN PRACTIONER |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN227487 | GA | MD | Nutrition Support Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1104325653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 DUKE CT",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302138300",
"telephone_number": "813-205-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 DUKE CT",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302138300",
"telephone_number": "813-205-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KEZIAH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SC1501X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": "GA",
"license": "RN227487",
"primary": true
},
{
"code": "364SH1100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Holistic",
"state": "GA",
"license": "RN227487",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN227487",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "GA",
"license": "RN227487",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN227487",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "GA",
"license": "RN227487",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "GA",
"license": "RN227487",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN227487",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "GA",
"license": "RN227487",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "GA",
"license": "RN227487",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON PHYSICIAN PRACTIONER",
"identifier": "RN227487",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.