Individual provider Active NPI

Jacquelyn Diane Jones, PSYNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1528162567
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN109773 Issued in AZ
Practice address
6625 S Rural Rd Ste 111
Tempe, AZ 85283-3717
Phone
(480) 483-2726
Fax
(480) 935-8662
NPI assigned
Sep 11, 2006
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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 RN109773 AZ Primary

Addresses

Primary practice location

6625 S Rural Rd Ste 111
Tempe, AZ 85283-3717

Mailing address

6625 S Rural Rd Ste 111
Tempe, AZ 85283-3717
Phone (480) 483-2726

Other practice location 1

8035 N 85th Way
Scottsdale, AZ 85258-4321
Phone (480) 534-8662

Other practice location 2

13430 N Scottsdale Rd
Ste. 214
Scottsdale, AZ 85254-4057
Phone (480) 483-2726

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

LicenseStateTypeSpecialty
RN109773AZMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1528162567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 S RURAL RD STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833717",
            "telephone_number": "480-483-2726",
            "fax_number": "480-935-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 S RURAL RD STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833717",
            "telephone_number": "480-483-2726",
            "fax_number": "480-935-8662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8035 N 85th Way",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584321",
            "country_code": "US",
            "telephone_number": "480-534-8662",
            "fax_number": "480-935-0513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13430 N Scottsdale Rd",
            "address_2": "Ste. 214",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852544057",
            "country_code": "US",
            "telephone_number": "480-483-2726",
            "fax_number": "480-607-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACQUELYN",
        "middle_name": "DIANE",
        "credential": "PSYNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN109773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.