Active NPI
Yekaterina V Jones
- Medical Physician Assistant
- Virginia Beach, VA
National Provider Identifier
1336775311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110007377
- Practice address
- 828 Healthy Way Ste 300
Virginia Beach, VA 23462-7958 - Phone
- (757) 965-6165
- NPI assigned
- Mar 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110007377 | VA | Primary |
Addresses
Primary practice location
828 Healthy Way Ste 300
Virginia Beach, VA 23462-7958
Mailing address
828 Healthy Way Ste 300
Virginia Beach, VA 23462-7958
Phone (757) 965-6165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201103001414 | VA | Practitioner - Physician Assistant | 5890105803 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Dermatology P.C.
Practice addresses (Care Compare)
3176 Holland Rd
Suite 103
Virginia Beach, VA 23453-2637
Phone (757) 368-7546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1336775311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 HEALTHY WAY STE 300",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234627958",
"telephone_number": "757-965-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 HEALTHY WAY STE 300",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234627958",
"telephone_number": "757-965-6165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "YEKATERINA",
"middle_name": "V",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-21",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110007377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.