Individual provider Active NPI

Angela M Jones, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, LA
National Provider Identifier
1194023762
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP06320 Issued in LA
Practice address
11990 Jackson St
Clinton, LA 70722-3210
Phone
(225) 683-5292
Fax
(225) 683-3411
NPI assigned
Mar 7, 2011
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06320 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP06320 LA Primary

Addresses

Primary practice location

11990 Jackson St
Clinton, LA 70722-3210

Mailing address

2915 S Sherwood Forest Blvd
Baton Rouge, LA 70816-5700
Phone (225) 292-7434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20180112000234 LA Practitioner - Nurse Practitioner 9830458132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27124 Hwy 42
Springfield, LA 70462-7979
Phone (225) 395-8022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06320LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Dec 11, 2017 Accepting new patients
Primary Care Providers for a Healthy Feliciana Inc CurrentSince Dec 11, 2017 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc. Current Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc. Past Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc Past Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc Past Accepting new patients

Locations

455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 201-0950

10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877

11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111

28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356

54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000

3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227

Interoperability endpoints

  • Direct secure messaging: angela.jones.p1@direct.rkmprimarycare.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1194023762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165700",
            "telephone_number": "225-292-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 JACKSON ST",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223210",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06320",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP06320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, LA

Sources for this page

Verify at the official NPI Registry.