Individual provider Active NPI

Jena L Jones, P.A.-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1417239930
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11455 Issued in TX
Practice address
520 Camden St
San Antonio, TX 78215-1924
Phone
(210) 223-1816
NPI assigned
Sep 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11455 TX Primary

Addresses

Primary practice location

520 Camden St
San Antonio, TX 78215-1924

Mailing address

520 Camden St
San Antonio, TX 78215-1924
Phone (210) 223-3246

Other practice location 1

13934 N 59th Ave
Suite 160
Glendale, AZ 85306-4167
Phone (602) 343-6300

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11455TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Clinic of Gastroenterology PC Past Accepting new patients
Lisa a. Davis, M.D., P.a. PastSince Aug 11, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1417239930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151924",
            "telephone_number": "210-223-3246",
            "fax_number": "210-223-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151924",
            "telephone_number": "210-223-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13934 N 59th Ave",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064167",
            "country_code": "US",
            "telephone_number": "602-343-6300",
            "fax_number": "602-343-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENA",
        "middle_name": "L",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-10",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.