Organization Active NPI

Peter D Jones MD PC

  • Nurse Practitioner
  • Willimantic, CT
National Provider Identifier
1255534798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
001754 Issued in CT
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

14 Quarry St
Willimantic, CT 06226
Phone (860) 423-8020

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.