Active NPI
Jacquelyn L Jones, RN
- School Registered Nurse
- Haines City, FL
National Provider Identifier
1538240957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN9186639
- Practice address
- 111 N 11TH St
Haines City, FL 33844-4325 - Phone
- (863) 421-3204
- Fax
- (863) 421-3210
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN9186639 | FL | Primary |
Addresses
Primary practice location
111 N 11TH St
Haines City, FL 33844-4325
Mailing address
1290 Golfview Ave
Bartow, FL 33830-6738
Phone (863) 519-7900
Other names 1
- Miss Jacquelyn Lavern Baker
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9186639 | FL | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | 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.
-
dba Levy County Health Department
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538240957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 GOLFVIEW AVE",
"city": "BARTOW",
"state": "FL",
"postal_code": "338306738",
"telephone_number": "863-519-7900",
"fax_number": "863-519-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 11TH ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338444325",
"telephone_number": "863-421-3204",
"fax_number": "863-421-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JACQUELYN",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "FL",
"license": "RN9186639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELYN",
"last_name": "BAKER",
"middle_name": "LAVERN",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.