Individual provider Active NPI

Heather D Jones, PA-C

  • Physician Assistant
  • Sierra Vista, AZ
National Provider Identifier
1255397378
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2792 Issued in AZ
Practice address
198 S. Coronado Dr.
Suite a
Sierra Vista, AZ 85635
Phone
(520) 417-0542
Fax
(520) 417-0581
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2792 AZ
Physician Assistant 363A00000X 2792 AZ Primary

Addresses

Primary practice location

198 S. Coronado Dr.
Suite a
Sierra Vista, AZ 85635

Mailing address

PO Box 30370
Tucson, AZ 85751-0370
Phone (520) 722-0777

Other identifiers 1

IdentifierTypeStateIssuer
767535MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040522000208 AZ Practitioner - Physician Assistant 9931190428 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
2792AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Jan 11, 2026 Accepting new patients
GP Medicine, PLLC Current Accepting new patients
American Geriatric Enterprise, Inc. Past Accepting new patients
Prescott Healthcare Solutions LLC Past Accepting new patients

Locations

1800 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 459-3116

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1255397378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30370",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857510370",
            "telephone_number": "520-722-0777",
            "fax_number": "520-290-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 S. CORONADO DR.",
            "address_2": "SUITE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-417-0542",
            "fax_number": "520-417-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "HEATHER",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2792",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767535",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.