Individual provider Active NPI

Lillian Booker Jones

  • Case Manager/Care Coordinator
  • Mechanicsville, VA
National Provider Identifier
1134586332
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
S5962453 Issued in VA
Practice address
8421 Bink PL
Mechanicsville, VA 23111-1444
Phone
(804) 878-0620
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X S5962453 VA Primary

Addresses

Primary practice location

8421 Bink PL
Mechanicsville, VA 23111-1444

Mailing address

8421 Bink PL
Mechanicsville, VA 23111-1444
Phone (804) 878-0620

Other identifiers 1

IdentifierTypeStateIssuer
S5962453OtherVASTATE CORPORATION COMMISSION

Other names 1

  • Mrs. Lillian Marie Jones Former name

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

State licenses

LicenseStateTypeSpecialty
S5962453VAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Oil Only in Love LLC Case Manager/Care Coordinator Past Accepting new patients

Organizations & group practices 1

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1134586332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 BINK PL",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111444",
            "telephone_number": "804-878-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 BINK PL",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111444",
            "telephone_number": "804-878-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LILLIAN",
        "middle_name": "BOOKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "S5962453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CORPORATION COMMISSION",
            "identifier": "S5962453",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "JONES",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.