Dericka Nicole Jones

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-80840 Issued in GA

Practice address

139 Attwater CT
Leesburg, GA 31763-5564

Phone

(229) 338-4270

NPI assigned

Mar 26, 2019

Last updated

Mar 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1326509035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ATTWATER CT",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635564",
            "telephone_number": "229-338-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 ATTWATER CT",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635564",
            "telephone_number": "229-338-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DERICKA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-19-80840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "052755134",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derickaanderson@ymail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "139 Attwater Ct",
            "city": "Leesburg",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317635564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeh Speech & Swallowing Therapy
• Patrina Jimmerson
• Carla D Johnson, PA
• Tracy Johnson, NP
• Delphine Cleo Jones, PHARMD, RPH
• Edward Lane Jones, R.PH.
• Shakira Lemescheve Joyner
• Sowechi Kamanu
• Jocelyn Q King
• Justin Lee King, OTR/L

• Behavior Technician in Leesburg, GA
• Providers in Leesburg, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.