Active NPI
Dietriche Stewart Jones, DNP, FNP-BC
- Family Nurse Practitioner
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R856204
- Practice address
- 1041 S Madison St
Tupelo, MS 38801-6391 - Phone
- (662) 844-8754
- NPI assigned
- Nov 14, 2007
- Last updated
- Sep 29, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R856204 | MS | Primary |
Addresses
Primary practice location
1041 S Madison St
Tupelo, MS 38801-6391
Mailing address
1041 S Madison St
Tupelo, MS 38801-6391
Phone (662) 844-8754
Other practice location 1
495 S Gloster St
Tupelo, MS 38801-5539
Phone (662) 844-8754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01704876 | Medicaid | MS |
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1041 S Madison St
Tupelo, MS 38801-6309
Phone (601) 844-8754
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| Sanders Clinic for Women PA | Current | Accepting new patients |
Locations
1041 S Madison St
Tupelo, MS 38801
Phone (601) 844-8754
495 S Gloster St
Ste M2
Tupelo, MS 38801
Phone (662) 844-8754
Interoperability endpoints
- dietriche.jones.1@13706.direct.athenahealth.com
- dietrichejones@nmhs.medalliesdirect.net
- https://api.platform.athenahealth.com/13706/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Tupelo, MS
- NPI 1962423046
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1376724799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 S MADISON ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016391",
"telephone_number": "662-844-8754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 S MADISON ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016391",
"telephone_number": "662-844-8754"
}
],
"practiceLocations": [
{
"address_1": "495 S Gloster St",
"address_purpose": "LOCATION",
"city": "Tupelo",
"state": "MS",
"postal_code": "388015539",
"country_code": "US",
"telephone_number": "662-844-8754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "DIETRICHE",
"middle_name": "STEWART",
"name_prefix": "Mrs.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2026-09-29",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R856204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01704876",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.