Lakiesha Yvette Jones, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN227586 Issued in GA

Practice address

4900 Black Bear TRL
Douglasville, GA 30135-5897

Phone

(571) 241-7651

NPI assigned

Feb 11, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1528651494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BLACK BEAR TRL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355897",
            "telephone_number": "571-241-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BLACK BEAR TRL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355897",
            "telephone_number": "571-241-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LAKIESHA",
        "middle_name": "YVETTE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mohaganyk0115@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4900 Black Bear Trl",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301355897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christiana Diane Jones, FNP
• Jenaya Jones
• Katherine G Jones
• Kyle Jones, OD
• Kyra Makiva Jones
• Monique Jones
• Quincy Jerome Jones
• Robin Marie Jones
• Sharlene Jones
• Shermnae Demetrice Jones, D.D.S.

• Family Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.