Individual provider Active NPI

Kristin Kay Jones, ARNP

  • Family Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1396034278
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22714A Issued in SC
Practice address
3930 Grandview Dr
Simpsonville, SC 29680-3163
Phone
(864) 757-5059
NPI assigned
Mar 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9247445 FL
Family Nurse Practitioner 363LF0000X 822197 NV
Family Nurse Practitioner 363LF0000X 57696 NM
Family Nurse Practitioner 363LF0000X 22714A SC Primary

Addresses

Primary practice location

3930 Grandview Dr
Simpsonville, SC 29680-3163

Mailing address

30 Redvales Rd
Simpsonville, SC 29681-8020
Phone (904) 423-7958

Other names 1

  • Kristin Kay Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NM, NV, ID, AZ, WA, CO7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20190806000701 SC Practitioner - Nurse Practitioner 4789861121 Reassigns benefits to 5 organizations
I20220228002720 NM Practitioner - Nurse Practitioner 4789861121 Reassigns benefits to 2 organizations
I20220309002457 NV Practitioner - Nurse Practitioner 4789861121 Reassigns benefits to 2 organizations
I20220322002506 ID Practitioner - Nurse Practitioner 4789861121 Reassigns benefits to 2 organizations
I20220322002816 AZ Practitioner - Nurse Practitioner 4789861121 Reassigns benefits to 2 organizations
I20220323000848 WA Practitioner - Nurse Practitioner 4789861121 Reassigns benefits to 2 organizations
I20220324002582 CO Practitioner - Nurse Practitioner 4789861121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Ambulatory Services - St. Francis, LLCGroup PAC ID 0840590931, 57 clinicians

Practice addresses (Care Compare)

3930 Grandview Dr
Suite B
Simpsonville, SC 29680-3163
Phone (864) 757-5059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9247445FLMDFamily Nurse Practitioner
57696NMMDFamily Nurse Practitioner
22714ASCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of South Carolina PC CurrentSince Nov 24, 2020 Accepting new patients
Washington Pac Services PC CurrentSince Jan 1, 2022 Accepting new patients
Colorado Post-Acute Medical Services 1 PC CurrentSince Jan 1, 2022 Accepting new patients
Wa Pacs 2 PC CurrentSince Jan 1, 2022 Accepting new patients
Northwest Post-Acute Care PC CurrentSince Jan 1, 2022 Accepting new patients
NV Pacs 2 LLC CurrentSince Jan 1, 2022 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Jan 1, 2022 Accepting new patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Jul 8, 2019 Accepting new patients
Woodruff Road Urgent Care Center, P.C. CurrentSince Feb 16, 2020 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
New Mexico Pac Services PC CurrentSince Jan 1, 2022 Accepting new patients
South Carolina Post Acute Medical Services 1 PC CurrentSince Jul 2, 2022 Accepting new patients
Co Pacs 2 PC CurrentSince Jan 1, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
Nevada Post-Acute Medical Services-Scherr 1 PC CurrentSince Jan 1, 2022 Accepting new patients
NM Pacs 2 LLC CurrentSince Jan 1, 2022 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Mi Pacs 2 PC Past Accepting new patients
Inpatient Consultants of Florida, Inc Past Accepting new patients

Locations (25 of 27)

800 W University Ave
Flagstaff, AZ 86001
Phone (928) 779-6931

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

1500 W Mineral Ave
Littleton, CO 80120
Phone (303) 450-2700

150 Spring St
Morrison, CO 80465
Phone (303) 697-8181

1125 N Division Ave
Sandpoint, ID 83864
Phone (208) 265-9299

7208 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 821-1200

7900 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 296-5565

10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200

2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684

1735 Adkins St
Eugene, OR 97401
Phone (541) 683-5032

510 Thompson St
Gaffney, SC 29340
Phone (864) 489-3101

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

3930 Grandview Dr
#B
Simpsonville, SC 29680
Phone (864) 301-6156

3930 Grandview Dr
Simpsonville, SC 29680

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1396034278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REDVALES RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296818020",
            "telephone_number": "904-423-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 GRANDVIEW DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296803163",
            "telephone_number": "864-757-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KRISTIN",
        "middle_name": "KAY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9247445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "822197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "57696",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22714A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WILLIAMS",
            "middle_name": "KAY",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.