Active NPI
Keandra K Jones
- Social Worker
- Draper, UT
National Provider Identifier
1447947882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 109806
- Practice address
- 217 E Scenic Peak CV
Draper, UT 84020-9222 - Phone
- (801) 282-6953
- NPI assigned
- Apr 18, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 109806 | TX | Primary |
Addresses
Primary practice location
217 E Scenic Peak CV
Draper, UT 84020-9222
Mailing address
1205 April Bloom # B
College Station, TX 77840-1807
Phone (254) 627-0297
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109806 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cefia Enterprises Incorporated | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba New Beginnings Behavioral Treatment Agency
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Draper, UT
- NPI 1194910133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1447947882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 APRIL BLOOM # B",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778401807",
"telephone_number": "254-627-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E SCENIC PEAK CV",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209222",
"telephone_number": "801-282-6953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KEANDRA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "109806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.