Active NPI
Anna M Jones, NP-C
- Family Medicine Physician
- Fort Carson, CO
National Provider Identifier
1306592811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F01220679
- Practice address
- 1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604 - Phone
- (719) 524-0691
- NPI assigned
- Feb 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0997325 | CO | |
| Family Medicine Physician | 207Q00000X | F01220679 | CO | Primary |
Addresses
Primary practice location
1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Mailing address
15490 Holbein Dr
Colorado Springs, CO 80921-2509
Phone (719) 488-0513
Other practice location 1
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone (719) 333-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F01220679 | Other | CO | AANP CERTIFICATION BOARD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01220679 | CO | MD | Family Medicine Physician |
| 0997325 | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1306592811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15490 HOLBEIN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212509",
"telephone_number": "719-488-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR UNIT MEDDAC",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134604",
"telephone_number": "719-524-0691"
}
],
"practiceLocations": [
{
"address_1": "4102 Pinion Dr",
"address_purpose": "LOCATION",
"city": "Usaf Academy",
"state": "CO",
"postal_code": "808402502",
"country_code": "US",
"telephone_number": "719-333-5111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "ANNA",
"middle_name": "M",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0997325",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "F01220679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP CERTIFICATION BOARD",
"identifier": "F01220679",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.