Active NPI
Teresa Anne Clark-Jones, 174H0000X
- Health Educator
- Monroe, MI
National Provider Identifier
1457841504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- Msu Extension Monroe County
963 S. Raisinville Rd.
Monroe, MI 48161 - Phone
- (734) 240-3179
- NPI assigned
- May 15, 2018
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | MI | Primary |
Addresses
Primary practice location
Msu Extension Monroe County
963 S. Raisinville Rd.
Monroe, MI 48161
Mailing address
Msu Extension Monroe County
963 S. Raisinville Rd.
Monroe, MI 48161
Phone (734) 240-3179
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": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1457841504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MSU EXTENSION MONROE COUNTY",
"address_2": "963 S. RAISINVILLE RD.",
"city": "MONROE",
"state": "MI",
"postal_code": "48161",
"telephone_number": "734-240-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MSU EXTENSION MONROE COUNTY",
"address_2": "963 S. RAISINVILLE RD.",
"city": "MONROE",
"state": "MI",
"postal_code": "48161",
"telephone_number": "734-240-3179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK-JONES",
"first_name": "TERESA",
"middle_name": "ANNE",
"credential": "174H0000X",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.