Chester Ray Jones IV, AGNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP131226 Issued in TX

Practice address

950 E Belt Line Rd Ste 150
Cedar Hill, TX 75104-2424

Phone

(972) 291-7863

Fax

(972) 291-0942

NPI assigned

Oct 11, 2016

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1124578455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD STE 150",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042424",
            "telephone_number": "972-291-7863",
            "fax_number": "972-291-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHESTER",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP131226",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP131226",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP131226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanikqu Lashun Johnson
• Sigrid Jones-Albercrombie, APRN, PMHNP-BC
• Annette Jones
• Becky Renea Jones, OT
• Brian D Jones, M.D.
• Shaunna Latrece Jones
• JTJ Marketing Inc (Source One Rehab)
• Jubilee Consulting USA Inc. (Jubilee Global Care)
• Justin Jeffrey Obana, O.D. PLLC
• Kam's Blessing

• Primary Care Nurse Practitioner in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.