Individual provider Active NPI

Kenyatta Brass Jones, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1184255507
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145098 Issued in TX
Practice address
2237 E Riverside Dr Ste 101-C
Austin, TX 78741-3051
Phone
(512) 744-6000
Fax
(512) 448-3776
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145098 TX Primary

Addresses

Primary practice location

2237 E Riverside Dr Ste 101-C
Austin, TX 78741-3051

Mailing address

2237 E Riverside Dr Ste 101-C
Austin, TX 78741-3051
Phone (512) 744-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241029000184 TX Practitioner - Nurse Practitioner 7416385307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP145098TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Action CurrentSince Aug 20, 2024 Accepting new patients

Locations

101 W Koenig Ln
Unit 100
Austin, TX 78751
Phone (512) 454-9426

2800 S Interstate 35
Ste 215
Austin, TX 78704
Phone (512) 330-9444

101 W Koenig Ln
Unit 300
Austin, TX 78751
Phone (512) 565-7750

3802 Cedar Springs Rd
Ste 110
Dallas, TX 75219
Phone (512) 853-9547

730 Isom Rd
Ste 104
San Antonio, TX 78216
Phone (512) 853-9547

Interoperability endpoints

  • Direct secure messaging: kenyatta.jones.1@15777.direct.athenahealth.com

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1184255507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 E RIVERSIDE DR STE 101-C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413051",
            "telephone_number": "512-744-6000",
            "fax_number": "512-448-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 E RIVERSIDE DR STE 101-C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413051",
            "telephone_number": "512-744-6000",
            "fax_number": "512-448-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KENYATTA",
        "middle_name": "BRASS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.