Individual provider Active NPI

Maria Jones, APRN

  • Pediatric Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1194793760
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3004567 Issued in KY
Practice address
551 Parkside Dr
Lexington, KY 40505-1726
Phone
(859) 288-2425
Fax
(859) 721-3918
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4567P KY
Pediatric Nurse Practitioner 363LP0200X 3004567 KY Primary

Addresses

Primary practice location

551 Parkside Dr
Lexington, KY 40505-1726

Mailing address

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2392

Other practice location 1

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425

Other identifiers 4

IdentifierTypeStateIssuer
000000492591OtherBC BS APC
000000363979OtherBC BS HHC
7706646OtherAETNA HHC
78014503MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050517000145 KY Practitioner - Nurse Practitioner 3173564507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4567KYMDDentist
4567PKYMDNurse Practitioner
3004567KYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Bluegrass Inc CurrentSince Mar 21, 2016 Accepting new patients
Healthfirst Bluegrass Inc. CurrentSince Mar 21, 2016 Accepting new patients
Horizon Healthcare Center LLC Nurse Practitioner PastSince Mar 17, 2019 Accepting new patients
Madison Primary Care, LLC Pediatrics Past Accepting new patients
Pediatric Specialty Clinic, LLC. Pediatrics PastSince Aug 14, 2011 Accepting new patients

Locations

555 E Fifth St
Lexington, KY 40508
Phone (859) 252-2371

122 Arceme Ave
Lexington, KY 40505

1111 Centre Pkwy
Lexington, KY 40517
Phone (859) 381-3620

161 Bruce St
Lexington, KY 40507
Phone (859) 381-3418

1113 Centre Pkwy
Lexington, KY 40517
Phone (859) 381-3606

707 Howard St
Lexington, KY 40508
Phone (859) 381-3263

496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392

551 Parkside Dr
Lexington, KY 40505
Phone (859) 381-3512

2101 Saint Mathilda Dr
Lexington, KY 40502
Phone (859) 381-3273

350 N Limestone
Lexington, KY 40508
Phone (859) 381-3203

576 E Third St
Ste 170
Lexington, KY 40508
Phone (859) 288-2478

218 Mandalay Rd
Lexington, KY 40504
Phone (859) 381-3340

Interoperability endpoints

  • Direct secure messaging: maria.jones.1@32600.direct.athenahealth.com

Organizations & group practices 5

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1194793760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2392",
            "fax_number": "859-721-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 PARKSIDE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405051726",
            "telephone_number": "859-288-2425",
            "fax_number": "859-721-3918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 Southland Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031827",
            "country_code": "US",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4567P",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3004567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS  APC",
            "identifier": "000000492591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS  HHC",
            "identifier": "000000363979",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  HHC",
            "identifier": "7706646",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78014503",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.