Active NPI
Peter D Jones MD PC
- Nurse Practitioner
- Willimantic, CT
National Provider Identifier
1255534798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 001754
- Legal business name
- PETER D JONES MD PC
- Practice address
- 14 Quarry St
Willimantic, CT 06226-1232 - Phone
- (860) 423-8020
- Fax
- (860) 456-8288
- NPI assigned
- Jun 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter D Jones, MD
- Title
- President
- Phone
- (860) 423-8020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 001754 | CT | Primary |
Addresses
Primary practice location
14 Quarry St
Willimantic, CT 06226-1232
Mailing address
14 Quarry St
Willimantic, CT 06226-1232
Phone (860) 423-8020
National Provider Directory
National Provider DirectoryLocations
14 Quarry St
Willimantic, CT 06226
Phone (860) 423-8020
Interoperability endpoints
- https://api.platform.athenahealth.com/13318/brand/2/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255534798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 QUARRY ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062261232",
"telephone_number": "860-423-8020",
"fax_number": "860-456-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 QUARRY ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062261232",
"telephone_number": "860-423-8020",
"fax_number": "860-456-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER D JONES MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-423-8020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "001754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.