Active NPI
Stacie L. Jones, LPN
- Licensed Practical Nurse
- Bridgeton, NJ
National Provider Identifier
1508172271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 26NP06420300
- Practice address
- 130 Pamphylia Ave
39
Bridgeton, NJ 08302-3471 - Phone
- (856) 462-7591
- NPI assigned
- Aug 19, 2010
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 26NP06420300 | NJ | Primary |
Addresses
Primary practice location
130 Pamphylia Ave
39
Bridgeton, NJ 08302-3471
Mailing address
130 Pamphylia Ave
Apt; 39
Bridgeton, NJ 08302-3471
Phone (856) 462-7591
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 |
|---|---|---|---|
| 26NP06420300 | NJ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1508172271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 PAMPHYLIA AVE",
"address_2": "APT; 39",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023471",
"telephone_number": "856-462-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PAMPHYLIA AVE",
"address_2": "39",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023471",
"telephone_number": "856-462-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "STACIE",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NJ",
"license": "26NP06420300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.