Raven Alexis Jones, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4020262 Issued in KY

Practice address

156 Island Creek Rd
Pikeville, KY 41501-9340

Phone

(606) 432-3221

NPI assigned

Jan 14, 2025

Last updated

Jan 14, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Aaron K. Jonan Memorial Clinic Inc.

  dba Aaron Jonan Memorial Clinic

  • Rural Health Clinic/Center
  • Jackson, KY
  • NPI 1477569226
  Medicare reassignment NPD
• Pediatric Associates

  dba Red River Health Care

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1013954510
  Medicare reassignment NPD
• Salyersville Medical Center, LLC

  • Rural Health Clinic/Center
  • Salyersville, KY
  • NPI 1215984711
  Medicare reassignment NPD
• Pediatric Associates

  dba Pediatric Associates of Hazard

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1487600615
  NPD
• Pediatric Associates

  dba Pediatric Associates of Pikeville, LLC

  • Rural Health Clinic/Center
  • Pikeville, KY
  • NPI 1851348338
  NPD

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1114738713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 JONES TOWN CIR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417018052",
            "telephone_number": "423-585-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 ISLAND CREEK RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019340",
            "telephone_number": "606-432-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RAVEN",
        "middle_name": "ALEXIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "4020262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Leann Johnson, APRN, FNP-C
• Stan Michael Johnson, M.D.
• Stephanie Johnson
• William M Johnson, MD
• Breanna Jones
• Trevor Jones, FNP
• Jason R Jude
• Brittney R. Judhan, PA-C
• Rudy Jewan Judhan, MBBS
• Judi's Place for Kids, Inc. (Judi's Place for Kids)

• Pediatric Nurse Practitioner in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.