Active NPI
Jeri Nicole Jones I, NURSE
- Licensed Psychiatric Technician
- Yucca Valley, CA
National Provider Identifier
1285958025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 34468
- Practice address
- 58945 Business Center Dr Ste D
Yucca Valley, CA 92284-7310 - Phone
- (760) 228-9657
- Fax
- (760) 369-6758
- NPI assigned
- Mar 23, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 34468 | CA | Primary |
Addresses
Primary practice location
58945 Business Center Dr Ste D
Yucca Valley, CA 92284-7310
Mailing address
1159 N Mulberry Ave
Rialto, CA 92376-4582
Phone (909) 355-5282
Other names 1
- Ms. Jeri Nicole Jones I
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 |
|---|---|---|---|
| 34468 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1285958025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1159 N MULBERRY AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764582",
"telephone_number": "909-355-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58945 BUSINESS CENTER DR STE D",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847310",
"telephone_number": "760-228-9657",
"fax_number": "760-369-6758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JERI",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"name_suffix": "I",
"credential": "NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "34468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERI",
"last_name": "JONES",
"middle_name": "NICOLE",
"prefix": "MS.",
"suffix": "I",
"credential": "LPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.