Individual provider Active NPI

Irish Towanda Jones, CRNP

  • Family Nurse Practitioner
  • Ocean City, MD
National Provider Identifier
1366909442
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R185790 Issued in MD
Practice address
12417 Ocean Gtwy Ste 7
Ocean City, MD 21842-9522
Phone
(833) 510-4357
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R185790 MD Primary

Addresses

Primary practice location

12417 Ocean Gtwy Ste 7
Ocean City, MD 21842-9522

Mailing address

615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063

Other practice location 1

305 10th St Ste 104
Pocomoke City, MD 21851-1607
Phone (410) 957-0273

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Other names 1

  • Ms. Irish Towanda Stanley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20191220001189 MD Practitioner - Nurse Practitioner 3476987645 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

108 E Main St
Salisbury, MD 21801-4921

614 Eastern Shore Dr
Suite B
Salisbury, MD 21804-5940

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wicomico County Health Department CurrentSince Nov 29, 2022 Accepting new patients
Wicomico County Health Department CurrentSince Nov 29, 2022 Accepting new patients
Chesapeake Treatment Services LLC CurrentSince Sep 4, 2023 Accepting new patients
Chesapeake Treatment Services Ocean City LLC CurrentSince Jun 3, 2023 Accepting new patients

Locations

402 Marvel Ct
Easton, MD 21601
Phone (410) 822-7150

12417 Ocean Gtwy
Ste 7
Ocean City, MD 21842
Phone (300) 373-2113

108 E Main St
Salisbury, MD 21801
Phone (410) 334-3497

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1366909442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021457",
            "telephone_number": "513-834-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12417 OCEAN GTWY STE 7",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429522",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 10th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pocomoke City",
            "state": "MD",
            "postal_code": "218511607",
            "country_code": "US",
            "telephone_number": "410-957-0273",
            "fax_number": "410-957-0152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "IRISH",
        "middle_name": "TOWANDA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRISH",
            "last_name": "STANLEY",
            "middle_name": "TOWANDA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocean City, MD

Sources for this page

Verify at the official NPI Registry.