Individual provider Active NPI

Ashanta Rene Jones, FNP-C

  • Family Nurse Practitioner
  • Ferriday, LA
National Provider Identifier
1457062259
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905664 Issued in MS
Practice address
204 Serio Blvd
Ferriday, LA 71334-2015
Phone
(318) 757-0210
Fax
(318) 757-9916
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 905664 MS Primary

Addresses

Primary practice location

204 Serio Blvd
Ferriday, LA 71334-2015

Mailing address

204 Serio Blvd
Ferriday, LA 71334-2015
Phone (318) 757-0210

Other practice location 1

1643 Carter St
Vidalia, LA 71373-3156
Phone (318) 336-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230331000210 MS Practitioner - Nurse Practitioner 0941675151 Reassigns benefits to 1 organization
I20240731004608 LA Practitioner - Nurse Practitioner 0941675151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concordia Parish Hospital Service District Number OneGroup PAC ID 4587559935, 28 clinicians

Practice addresses (Care Compare)

204 Serio Blvd
Ferriday, LA 71334-2015
Phone 3187576551484

Hospital & facility affiliations

  • Louisiana Homecare of Miss-Lou Home health agency, Ferriday, LA, CCN 197063
  • Riverland Medical Center Hospital, Ferriday, LA, CCN 191318
  • Merit Health Natchez Hospital, Natchez, MS, CCN 250084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. CurrentSince Dec 20, 2022 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Dec 20, 2022 Accepting new patients
Family Health Care Clinic, Inc. Current Accepting new patients
Concordia Parish Hospital Service District Number One Current Accepting new patients
Concordia Parish Hospital Service District Number One CurrentSince Jul 1, 2024 Accepting new patients
Concordia Parish Hospital Service District Number One CurrentSince Jul 1, 2024 Accepting new patients
Concordia Parish Hospital Service District Number One CurrentSince Jul 1, 2024 Accepting new patients
Family Health Care Clinic, Inc. Past Accepting new patients
Concordia Parish Hospital Service District Number One Past Accepting new patients

Locations

6569 Highway 84
Ste D
Ferriday, LA 71334
Phone (318) 719-3228

204 Serio Blvd
Ferriday, LA 71334
Phone (318) 757-0210

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

1643 Carter St
Ste 1
Vidalia, LA 71373
Phone (318) 336-4444

1643 Carter St
Vidalia, LA 71373
Phone (318) 336-8707

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500

1495 US Highway 61 S
Woodville, MS 39669
Phone (601) 888-3518

1495 US Highway 61 S
Ste A
Woodville, MS 39669
Phone (601) 446-5315

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1457062259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342015",
            "telephone_number": "318-757-0210",
            "fax_number": "318-757-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342015",
            "telephone_number": "318-757-0210",
            "fax_number": "318-757-9916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1643 Carter St",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "LA",
            "postal_code": "713733156",
            "country_code": "US",
            "telephone_number": "318-336-8707",
            "fax_number": "318-336-8776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ASHANTA",
        "middle_name": "RENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferriday, LA

Sources for this page

Verify at the official NPI Registry.