Individual provider Active NPI

Shaleah D Jones, M.D.

  • Family Medicine Physician
  • Pullman, WA
National Provider Identifier
1306871603
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60322730 Issued in WA
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

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00465013OtherNERR 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
23908NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dawnmd LLC Family Medicine CurrentSince Jun 14, 2020 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.

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

Verify at the official NPI Registry.