Active NPI
Tacoya Jones, NP
- Adult Health Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704268616
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704268616 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bicycle Health Medical Group PA | Current | Accepting new patients | |
| Bicycle Health Provider Group Inc. | Past | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.