Active NPI
Lucy Jones, APN
- Nurse Practitioner
- Fayetteville, AR
National Provider Identifier
1508808742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A01173ANP
- Practice address
- 2630 E Citizens Dr
Suite 13
Fayetteville, AR 72703-4797 - Phone
- (479) 571-6000
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A01173ANP | AR | Primary |
Addresses
Primary practice location
2630 E Citizens Dr
Suite 13
Fayetteville, AR 72703-4797
Mailing address
614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Phone (479) 751-7417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152250758 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01173ANP | AR | MD | Nurse Practitioner |
Interoperability endpoints
- lucy.jones.p1@direct.missionfamily.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1508808742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 E EMMA AVE STE 300",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644469",
"telephone_number": "479-751-7417",
"fax_number": "479-751-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 E CITIZENS DR",
"address_2": "SUITE 13",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034797",
"telephone_number": "479-571-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LUCY",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01173ANP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152250758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.