Active NPI
Erica L Jones
- Community Health/Public Health Clinical Nurse Specialist
- Wake Forest, NC
National Provider Identifier
1336872332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health/Public Health Clinical Nurse Specialist
- License
- NA
- Practice address
- 3211 Rogers Rd Ste 200
Wake Forest, NC 27587-3891 - Phone
- (240) 229-5948
- NPI assigned
- Jul 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | NA | GA | |
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | NA | NC | Primary |
Addresses
Primary practice location
3211 Rogers Rd Ste 200
Wake Forest, NC 27587-3891
Mailing address
3211 Rogers Rd Ste 200
Wake Forest, NC 27587-3891
Phone (240) 229-5948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 249294203 | Medicaid | NC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erica@metanoiaspallc.com | Direct | |
| CONNECT URL | www.metanoiaspa.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metanoia Spa LLC | Current | Accepting new patients |
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.
-
dba Metanoia Wholistic Haven
- Early Intervention Provider Agency
- Durham, NC
- NPI 1922986157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1336872332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 ROGERS RD STE 200",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873891",
"telephone_number": "240-229-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 ROGERS RD STE 200",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873891",
"telephone_number": "240-229-5948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ERICA",
"middle_name": "L",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "GA",
"license": "NA",
"primary": false
},
{
"code": "364SC1501X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": "NC",
"license": "NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "249294203",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erica@metanoiaspallc.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3211 Rogers Rd Ste 200",
"city": "Wake Forest",
"state": "NC",
"country_code": "US",
"postal_code": "275873891",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.metanoiaspa.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3211 Rogers Rd Ste 200",
"city": "Wake Forest",
"state": "NC",
"country_code": "US",
"postal_code": "275873891",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.