Individual provider Active NPI

Amber Star Jones, FNP

  • Family Nurse Practitioner
  • Sikeston, MO
National Provider Identifier
1447407242
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2006029128 Issued in MO
Practice address
1015 N Main St
Sikeston, MO 63801-5043
Phone
(573) 472-6010
Fax
(573) 472-6009
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2006029128 MO Primary

Addresses

Primary practice location

1015 N Main St
Sikeston, MO 63801-5043

Mailing address

1015 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-6010

Other names 1

  • Amber Star Hughes Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2006029128MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Bluff Regional Medical Center LLC Past Accepting new patients
Missouri Delta Medical Center Past Accepting new patients
Poplar Bluff Regional Medical Center, LLC Past Accepting new patients
Missouri Delta Medical Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Poplar Bluff Regional Medical Center LLC Past Accepting new patients

Organizations & group practices 6

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1447407242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-6010",
            "fax_number": "573-472-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-6010",
            "fax_number": "573-472-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMBER",
        "middle_name": "STAR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2006029128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HUGHES",
            "middle_name": "STAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.