Individual provider Active NPI

Edith Kathleen Jones, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1356993448
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024177819 Issued in VA
Practice address
1109 Norcova CT
Chesapeake, VA 23320-5013
Phone
(757) 559-3662
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024177819 VA Primary

Addresses

Primary practice location

1109 Norcova CT
Chesapeake, VA 23320-5013

Mailing address

1109 Norcova CT
Chesapeake, VA 23320-5013
Phone (757) 559-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191113003130 VA Practitioner - Nurse Practitioner 0941632996 Reassigns benefits to 1 organization
I20251111000730 AK Practitioner - Nurse Practitioner 0941632996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4300 Bartlett St
Homer, AK 99603-7000

4300 Bartlett St
Homer, AK 99603-7005

Hospital & facility affiliations

  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Peninsula Hospital, Inc CurrentSince Oct 29, 2025 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Sep 2, 2025 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Sep 2, 2025 Accepting new patients
City of Virginia Beach CurrentSince Aug 19, 2019 Accepting new patients
City of Virginia Beach CurrentSince Aug 19, 2019 Accepting new patients

Locations

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

297 Independence Blvd
Ste 126
Virginia Beach, VA 23462
Phone (757) 385-0511

3432 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 385-0684

3143 Magic Hollow Blvd
Ste 200
Virginia Beach, VA 23453
Phone (757) 219-2133

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
  • Direct secure messaging: ejones4058817@ak.providencedirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1356993448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 NORCOVA CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205013",
            "telephone_number": "757-559-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 NORCOVA CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205013",
            "telephone_number": "757-559-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EDITH",
        "middle_name": "KATHLEEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.