Individual provider Active NPI

Lekisha Ann-Marie Jones-Harvey

  • Licensed Practical Nurse
  • Hartford, CT
National Provider Identifier
1124602115
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
34740 Issued in CT
Practice address
55 Fishfry Street
Hartford, CT 06120-1203
Phone
(860) 247-8300
Fax
(860) 548-7325
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 34740 CT Primary

Addresses

Primary practice location

55 Fishfry Street
Hartford, CT 06120-1203

Mailing address

210 Pine St Apt 221
Manchester, CT 06040-8410
Phone (860) 878-5028

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians PC PastSince May 9, 2021 Accepting new patients
Community Substance Abuse Centers, Inc. Licensed Practical Nurse PastSince May 9, 2021 Accepting new patients

Organizations & group practices 2

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1124602115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PINE ST APT 221",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060408410",
            "telephone_number": "860-878-5028",
            "fax_number": "860-548-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FISHFRY STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201203",
            "telephone_number": "860-247-8300",
            "fax_number": "860-548-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-HARVEY",
        "first_name": "LEKISHA",
        "middle_name": "ANN-MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "34740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.