Alisha Michelle Jones, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F12190552 Issued in MO

Practice address

205 W 11TH St
Rolla, MO 65401-2804

Phone

(314) 279-4565

Fax

(309) 326-4526

NPI assigned

Sep 26, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Health Optimization Treatment Professional name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• NP Health of Mo LLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1477170959

  MO

  Medicare reassignment NPD
• Health Optimization Treatment, LLC

  • Adult Medicine Physician
  • Chesterfield, MO
  • NPI 1023821303
  NPD Authorized official
• Impact Lifeline

  • Rural Health Clinic/Center
  • Rolla, MO
  • NPI 1467257576

  Family

  NPD Authorized official
• Health Optimization Treatment

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1912702028
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1306453014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAURELWOOD CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464940",
            "telephone_number": "309-592-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 11TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012804",
            "telephone_number": "314-279-4565",
            "fax_number": "309-326-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Port Plz Ste 658",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631463015",
            "country_code": "US",
            "telephone_number": "314-328-9113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13191 Rich Ln",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654017546",
            "country_code": "US",
            "telephone_number": "314-328-9113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Center St Ste 25",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091016",
            "country_code": "US",
            "telephone_number": "314-279-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 4th St N Ste 24689",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024305",
            "country_code": "US",
            "telephone_number": "314-279-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12400 Olive Blvd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631415438",
            "country_code": "US",
            "telephone_number": "314-900-1736",
            "fax_number": "314-900-1747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12634 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631416337",
            "country_code": "US",
            "telephone_number": "309-592-2539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALISHA",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F12190552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEALTH",
            "last_name": "TREATMENT",
            "middle_name": "OPTIMIZATION",
            "credential": "LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Amber Lea Johnston, PLPC
• Caleb Tyrel Jones, FNP-C
• Michael Jones
• Michelle Denise Jones, COTA
• Latricia Elaine Juneau, FNP-C
• Anthony Thomas Kaczmarek, M.D.

• Family Nurse Practitioner in Rolla, MO
• Providers in Rolla, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.