Individual provider Active NPI

Judith Kaye Jones, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1366692238
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4956 Issued in AZ
Practice address
501 N Park Ave
110
Tucson, AZ 85719-5034
Phone
(520) 284-9200
NPI assigned
Sep 26, 2008
Last updated
May 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085000908 IL
Medical Physician Assistant 363AM0700X 4956 AZ Primary

Addresses

Primary practice location

501 N Park Ave
110
Tucson, AZ 85719-5034

Mailing address

501 N Park Ave
110
Tucson, AZ 85719-5034
Phone (520) 284-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000630 AZ Practitioner - Physician Assistant 9436317542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

18773 S Nogales Hwy
Suite 125
Green Valley, AZ 85614-0403
Phone (520) 771-0316

501 N Park Ave
Suite 110
Tucson, AZ 85719-5034
Phone (520) 284-9200

5369 S Calle Santa Cruz
Suite 145
Tucson, AZ 85706-3963
Phone (520) 573-7500

9525 E Old Spanish TRL
Suite 101
Tucson, AZ 85748-6630
Phone (520) 731-3666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085000908ILMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: judith.jonespac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1366692238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N PARK AVE",
            "address_2": "110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195034",
            "telephone_number": "520-284-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N PARK AVE",
            "address_2": "110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195034",
            "telephone_number": "520-284-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JUDITH",
        "middle_name": "KAYE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085000908",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.