Individual provider Active NPI

Kaitlyn Jones

  • Family Nurse Practitioner
  • Middlesboro, KY
National Provider Identifier
1487540571
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4041741 Issued in KY
Practice address
709 W Chester Ave
Middlesboro, KY 40965-1507
Phone
(606) 521-5977
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 4041741 KY Primary

Addresses

Primary practice location

709 W Chester Ave
Middlesboro, KY 40965-1507

Mailing address

709 W Chester Ave
Middlesboro, KY 40965-1507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250923002979 KY Practitioner - Nurse Practitioner 2062917917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristate Medical Clinic IncGroup PAC ID 5890713424, 3 clinicians

Practice addresses (Care Compare)

2317 Cumberland Ave
Middlesboro, KY 40965-2834

3503 Cumberland Ave
Middlesboro, KY 40965-2611
Phone (859) 582-7663

Hospital & facility affiliations

  • Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4041741KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Medical Clinic Inc Family CurrentSince Aug 18, 2025 Accepting new patients

Locations

3503 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 242-3100

Organizations & group practices 1

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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1487540571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W CHESTER AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W CHESTER AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651507",
            "telephone_number": "606-521-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4041741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.