Individual provider Active NPI

Tacoya Jones, NP

  • Adult Health Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1326550443
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704268616 Issued in MI
Practice address
2785 E Grand Blvd
Detroit, MI 48211-2003
Phone
(915) 900-3612
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704268616 MI Primary

Addresses

Primary practice location

2785 E Grand Blvd
Detroit, MI 48211-2003

Mailing address

3300 Washtenaw Ave Ste 280
Ann Arbor, MI 48104-5184
Phone (855) 659-7734

Other practice location 1

3300 Washtenaw Ave Ste 280
Ann Arbor, MI 48104-5184
Phone (855) 659-7734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20241104002477 NC Practitioner - Nurse Practitioner 4587906599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bicycle Health Medical Group PAGroup PAC ID 0244643872, 23 clinicians

Practice addresses (Care Compare)

4819 Emperor Blvd
Suite 400
Durham, NC 27703-5420
Phone (844) 943-2514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704268616MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bicycle Health Medical Group PA CurrentSince Sep 12, 2024 Accepting new patients
Bicycle Health Provider Group Inc. PastSince Dec 17, 2023 Accepting new patients

Locations

1000 Lafayette Blvd
Ste 1100
Bridgeport, CT 06604
Phone (203) 513-9456

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

2785 E Grand Blvd
Detroit, MI 48211
Phone (313) 200-4626

4819 Emperor Blvd
Ste 400
Durham, NC 27703
Phone (919) 617-1307

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

Interoperability endpoints

  • Direct secure messaging: tacoya.jones.1@18731.direct.athenahealth.com

Organizations & group practices 2

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1326550443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 280",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045184",
            "telephone_number": "855-659-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482112003",
            "telephone_number": "915-900-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Washtenaw Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481045184",
            "country_code": "US",
            "telephone_number": "855-659-7734",
            "fax_number": "855-716-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TACOYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704268616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.