Individual provider Active NPI

Rebecca Witten Jones, PHD, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1477848729
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5019003 Issued in NC
Practice address
380 Knollwood St Ste 330
Winston Salem, NC 27103-1868
Phone
(336) 778-3989
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5019003 NC Primary

Addresses

Primary practice location

380 Knollwood St Ste 330
Winston Salem, NC 27103-1868

Mailing address

380 Knollwood St Ste 330
Winston Salem, NC 27103-1868
Phone (336) 778-3989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231120003374 NC Practitioner - Nurse Practitioner 0648440545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arman C Moshyedi MD PLLCGroup PAC ID 9931435070, 21 clinicians

Practice addresses (Care Compare)

125 Ashleybrook SQ
Winston Salem, NC 27103-3111
Phone (855) 940-4867

1500 Sunday Dr
Raleigh, NC 27607-5151

6701 Carmel Rd
Suite 305
Charlotte, NC 28226-0209
Phone (855) 940-4867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5019003NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrook TMS Winston-Salem LLC CurrentSince Nov 12, 2023 Accepting new patients
Arman C. Moshyedi, MD, PLLC CurrentSince Nov 7, 2023 Accepting new patients

Locations

6701 Carmel Rd
Ste 305
Charlotte, NC 28226
Phone (217) 502-3050

1500 Sunday Dr
Ste 105
Raleigh, NC 27607

125 Ashleybrook Sq
Winston Salem, NC 27103
Phone (336) 632-3505

380 Knollwood St
Ste 330
Winston Salem, NC 27103
Phone (336) 778-3989

Interoperability endpoints

  • Direct secure messaging: rebecca.jones.1@18773.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1477848729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 KNOLLWOOD ST STE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031868",
            "telephone_number": "336-778-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 KNOLLWOOD ST STE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031868",
            "telephone_number": "336-778-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "REBECCA",
        "middle_name": "WITTEN",
        "credential": "PHD, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.