Active NPI
Keesha Jones
- Psychologist
- Riverview, FL
National Provider Identifier
1497628390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY12900
- Practice address
- 12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210 - Phone
- (813) 998-8600
- NPI assigned
- Sep 26, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY12900 | FL | Primary |
Addresses
Primary practice location
12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210
Mailing address
5609 Trace Meadow Loop Apt 301
Riverview, FL 33578-2600
Phone (954) 330-8929
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY12900 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Vamc | Past | Accepting new patients |
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.
-
- Department of Veterans Affairs (VA) Pharmacy
- Riverview, FL
- NPI 1821653080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1497628390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5609 TRACE MEADOW LOOP APT 301",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335782600",
"telephone_number": "954-330-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12920 SUMMERFIELD CROSSING BLVD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797210",
"telephone_number": "813-998-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KEESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-26",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY12900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.