Individual provider Active NPI

Kasi Che'Don Jones, CNP

  • Nurse Practitioner
  • Davis, OK
National Provider Identifier
1386169555
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
108875 Issued in OK
Practice address
1034 Hanover Rd
Davis, OK 73030-9545
Phone
(580) 247-5936
NPI assigned
Aug 9, 2017
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 108875 OK Primary
Family Nurse Practitioner 363LF0000X 108875 OK

Addresses

Primary practice location

1034 Hanover Rd
Davis, OK 73030-9545

Mailing address

1034 Hanover Rd
Davis, OK 73030-9545
Phone (580) 247-5936

Other identifiers 1

IdentifierTypeStateIssuer
108875OtherOKOKLAHOMA STATE BOARD OF NURSING

Other names 1

  • Kasi Che'Don Whatley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20171016003403 OK Practitioner - Nurse Practitioner 3779859921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1034 Hanover Rd
Davis, OK 73030-9545
Phone (580) 247-5936

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108875OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Health and Wellness LLC Nurse Practitioner CurrentSince Sep 17, 2023 Accepting new patients
Icare Center LLC CurrentSince Feb 4, 2021 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

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.

Hospital & facility affiliations 2

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1386169555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 HANOVER RD",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730309545",
            "telephone_number": "580-247-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 HANOVER RD",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730309545",
            "telephone_number": "580-247-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KASI",
        "middle_name": "CHE'DON",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "108875",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "108875",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD OF NURSING",
            "identifier": "108875",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASI",
            "last_name": "WHATLEY",
            "middle_name": "CHE'DON",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davis, OK

Sources for this page

Verify at the official NPI Registry.