Individual provider Active NPI

Amy Lankford Jones, PA-C

  • Physician Assistant
  • Somerset, KY
National Provider Identifier
1255323184
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA679 Issued in KY
Practice address
353 Bogle St
Suite C
Somerset, KY 42503-2888
Phone
(606) 678-2220
Fax
(606) 678-2219
NPI assigned
Aug 17, 2005
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA679 KY Primary

Addresses

Primary practice location

353 Bogle St
Suite C
Somerset, KY 42503-2888

Mailing address

353 Bogle St
Suite C
Somerset, KY 42503-2888
Phone (606) 678-2220

Other identifiers 4

IdentifierTypeStateIssuer
000000505007OtherKYBCBS INDIVIDUAL #
7100016460OtherKYKY MEDICAID GROUP #
95001780MedicaidKY
00196OtherMEDICARE GROUP PIN#

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA679KYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1255323184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BOGLE ST",
            "address_2": "SUITE C",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032888",
            "telephone_number": "606-678-2220",
            "fax_number": "606-678-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BOGLE ST",
            "address_2": "SUITE C",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032888",
            "telephone_number": "606-678-2220",
            "fax_number": "606-678-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMY",
        "middle_name": "LANKFORD",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "000000505007",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID GROUP #",
            "identifier": "7100016460",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95001780",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN#",
            "identifier": "00196",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.