Active NPI
Andre Byron Jones, PEER REC SUP SPEC
- Peer Specialist
- Oklahoma City, OK
National Provider Identifier
1457612533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1329 NE 55TH St
Oklahoma City, OK 73111-6705 - Phone
- (405) 427-0511
- NPI assigned
- Jun 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
1329 NE 55TH St
Oklahoma City, OK 73111-6705
Mailing address
1329 NE 55TH St
Oklahoma City, OK 73111-6705
Phone (405) 427-0511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245 | Other | OKLAHOMA DEPARTMENT OF MENTAL HEALTH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1457612533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 NE 55TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731116705",
"telephone_number": "405-427-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 NE 55TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731116705",
"telephone_number": "405-427-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANDRE",
"middle_name": "BYRON",
"name_prefix": "Mr.",
"credential": "PEER REC SUP SPEC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-05",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA DEPARTMENT OF MENTAL HEALTH",
"identifier": "1245",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.