Active NPI
Deneitra Jones, CNA AN LPN
- Homemaker
- Canton, MS
National Provider Identifier
1376103408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 83-4624676
- Practice address
- 131 Bainbridge Xing
Canton, MS 39046-6031 - Phone
- (601) 594-6449
- Fax
- (769) 300-0099
- NPI assigned
- Jun 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 83-4624676 | MS | Primary |
Addresses
Primary practice location
131 Bainbridge Xing
Canton, MS 39046-6031
Mailing address
131 Bainbridge Xing
Canton, MS 39046-6031
Phone (601) 594-6449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-4624676 | Medicaid | MS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83-4624676 | MS | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1376103408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 BAINBRIDGE XING",
"city": "CANTON",
"state": "MS",
"postal_code": "390466031",
"telephone_number": "601-594-6449",
"fax_number": "769-300-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 BAINBRIDGE XING",
"city": "CANTON",
"state": "MS",
"postal_code": "390466031",
"telephone_number": "601-594-6449",
"fax_number": "769-300-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DENEITRA",
"name_prefix": "Mrs.",
"credential": "CNA AN LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "MS",
"license": "83-4624676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83-4624676",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.