Active NPI
Kizmet Lashon Jones, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Olive Branch, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 905586
- Practice address
- Fast Pace Health
6244 Highway 305 North
Olive Branch, MS 38654 - Phone
- (662) 782-5024
- NPI assigned
- Sep 22, 2022
- Last updated
- Aug 23, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 873245 | MS | |
| Primary Care Nurse Practitioner | 363LP2300X | PENDING | MS | |
| Family Nurse Practitioner | 363LF0000X | 905586 | MS | Primary |
Addresses
Primary practice location
Fast Pace Health
6244 Highway 305 North
Olive Branch, MS 38654
Mailing address
14152 Strafford LN
Olive Branch, MS 38654-8462
Phone (901) 292-7764
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 662-838-7944 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1195 Church Rd W
Southaven, MS 38671-7144
Phone (662) 253-1067
50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884
517 City Ave S
Ripley, MS 38663-2517
Phone (662) 587-8206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 873245 | MS | MD | Registered Nurse |
| PENDING | MS | MD | Family Medicine Physician |
| 905586 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Family | Current | Accepting new patients |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients |
Locations
7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1346963519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14152 STRAFFORD LN",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548462",
"telephone_number": "901-292-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAST PACE HEALTH",
"address_2": "6244 HIGHWAY 305 NORTH",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "38654",
"telephone_number": "662-782-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KIZMET",
"middle_name": "LASHON",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-22",
"last_updated": "2024-08-23",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "873245",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MS",
"license": "PENDING",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "905586",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "662-838-7944",
"affiliation": "N",
"endpointDescription": "Clinic Fax",
"address_1": "Byhalia Family Health Center",
"address_2": "12 East Brunswick St",
"city": "Byhalia",
"state": "MS",
"country_code": "US",
"postal_code": "38611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.