Active NPI
Shaleah D Jones, M.D.
- Family Medicine Physician
- Pullman, WA
National Provider Identifier
1306871603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60322730
- Practice address
- 915 NE Valley Rd
Pullman, WA 99163-3845 - Phone
- (509) 332-3548
- Fax
- (509) 332-5253
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23908 | NE | |
| Family Medicine Physician | 207Q00000X | MD60322730 | WA | Primary |
Addresses
Primary practice location
915 NE Valley Rd
Pullman, WA 99163-3845
Mailing address
915 NE Valley Rd
Pullman, WA 99163-3845
Phone (509) 332-3548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00465013 | Other | NE | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 17, 2020 through Nov 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23908 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawnmd LLC | Family Medicine | Current | Accepting new patients |
Locations
540 E Main St
Apt A
Pullman, WA 99163
Phone (509) 309-0929
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.
-
- Family Medicine Physician
- Pullman, WA
- NPI 1669097127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1306871603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 NE VALLEY RD",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991633845",
"telephone_number": "509-332-3548",
"fax_number": "509-332-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 NE VALLEY RD",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991633845",
"telephone_number": "509-332-3548",
"fax_number": "509-332-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SHALEAH",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "23908",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60322730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00465013",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.