Individual provider Active NPI

Katrice D Jones

  • Licensed Vocational Nurse
  • Victorville, CA
National Provider Identifier
1215256631
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
213619 Issued in CA
Practice address
15263 Hook Blvd # B3
Victorville, CA 92394-2122
Phone
(760) 488-1220
Fax
(760) 488-1220
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 213619 CA Primary

Addresses

Primary practice location

15263 Hook Blvd # B3
Victorville, CA 92394-2122

Mailing address

15263 Hook Blvd # B3
Victorville, CA 92394-2122
Phone (760) 488-1220

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
213619CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1215256631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15263 HOOK BLVD # B3",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923942122",
            "telephone_number": "760-488-1220",
            "fax_number": "760-488-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15263 HOOK BLVD # B3",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923942122",
            "telephone_number": "760-488-1220",
            "fax_number": "760-488-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATRICE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "213619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.