Carly Jones

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0031993 Issued in OH

Practice address

425 Rocky Springs Dr
Blacklick, OH 43004-8327

Phone

(614) 562-7018

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Allergy and Asthma IncGroup PAC ID 0840512547, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Premier Allergy and Asthma Inc

  • Allergy Physician
  • Dublin, OH
  • NPI 1639572381
  Medicare reassignment Care Compare group NPD
• Premier Allergy

  • Allergy & Immunology Physician
  • Dublin, OH
  • NPI 1710289293
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1205557683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ROCKY SPRINGS DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ROCKY SPRINGS DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048327",
            "telephone_number": "614-562-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0031993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylee Jefferson
• Brittany Johnson
• Itzia Y Johnson
• Latricia Johnson
• Melinda Johnson
• Ki'Rra Jones
• Nicole Jones
• Sydney Jones
• Teauna Jones
• Toshmae Jones

• Family Nurse Practitioner in Blacklick, OH
• Providers in Blacklick, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.