Susan Jones

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002082540 Issued in VA

Practice address

140 Larkspur LN Ste D
Galax, VA 24333-2753

Phone

(276) 236-6341

NPI assigned

Dec 15, 2021

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1467111641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LARKSPUR LN STE D",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332753",
            "telephone_number": "276-236-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LARKSPUR LN STE D",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332753",
            "telephone_number": "276-236-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002082540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.jones@ctcprograms.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 Larkspur Ln Ste D",
            "city": "Galax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243332753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ethan Young Jones, DDS
• Jimmy Dale Jones
• Kayley Renee Jones, LPN
• Laurie Hawks Jones, NP
• Nathan Emory Jones
• K-VA-T Food Stores Inc (Food City Pharmacy)
• Michele Lee Keesling, NP
• Meagan W Kennedy
• Peter M Kigonya, MD
• KJLN Inc. (Life Consultants Inc.)

• Licensed Practical Nurse in Galax, VA
• Providers in Galax, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.