Active NPI
Zachery Jones
- Assisted Living Facility
- Fairbanks, AK
National Provider Identifier
1255961215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 101337
- Practice address
- 32 Craig Ave
Fairbanks, AK 99701-3527 - Phone
- (541) 405-0193
- Fax
- (907) 328-5969
- NPI assigned
- Jan 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 101337 | AK | Primary |
Addresses
Primary practice location
32 Craig Ave
Fairbanks, AK 99701-3527
Mailing address
32 Craig Ave
Fairbanks, AK 99701-3527
Phone (541) 405-0193
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Admin@jonesals.directak.net |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101337 | AK | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zachery Jones | Assisted Living Facility | Current | Accepting new patients |
Organizations & group practices 1
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": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1255961215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 CRAIG AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013527",
"telephone_number": "541-405-0193",
"fax_number": "907-328-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 CRAIG AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013527",
"telephone_number": "541-405-0193",
"fax_number": "907-328-5969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ZACHERY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-17",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AK",
"license": "101337",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Admin@jonesals.directak.net",
"affiliation": "N",
"address_1": "32 Craig Ave",
"city": "Fairbanks",
"state": "AK",
"country_code": "US",
"postal_code": "997013527",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.