Active NPI
Christine Michelle Jones, FNP-BC
- Family Nurse Practitioner
- West Lafayette, IN
National Provider Identifier
1285274464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28128872A
- Practice address
- Lyles-Porter Hall 715 Clinic Drive
West Lafayette, IN 47907 - Phone
- (765) 494-4003
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28128872A | IN | Primary |
Addresses
Primary practice location
Lyles-Porter Hall 715 Clinic Drive
West Lafayette, IN 47907
Mailing address
502 North University Street
West Lafayette, IN 47907
Phone (765) 413-8891
Other practice location 1
715 Clinic Drive
West Lafayette, IN 47907
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 |
|---|---|---|---|
| 28128872A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1285274464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 NORTH UNIVERSITY STREET",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "47907",
"telephone_number": "765-413-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LYLES-PORTER HALL 715 CLINIC DRIVE",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "47907",
"telephone_number": "765-494-4003"
}
],
"practiceLocations": [
{
"address_1": "715 Clinic Drive",
"address_purpose": "LOCATION",
"city": "West Lafayette",
"state": "IN",
"postal_code": "47907",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "CHRISTINE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-15",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28128872A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.