Individual provider Active NPI

Traci Ann Jones, FNP-C

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1538447487
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19296.1119 Issued in WY
Practice address
1331 Prairie Ave
Suite 1
Cheyenne, WY 82009-4867
Phone
(307) 632-0728
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19296.1119 WY Primary

Addresses

Primary practice location

1331 Prairie Ave
Suite 1
Cheyenne, WY 82009-4867

Mailing address

1331 Prairie Ave
Suite 1
Cheyenne, WY 82009-4867
Phone (307) 632-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116000132 WY Order and Referring Only - Nurse Practitioner 8123299229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19296.1119WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Babson & Associates Primary Care, PC CurrentSince Sep 1, 2011 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27166/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1538447487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 PRAIRIE AVE",
            "address_2": "SUITE 1",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094867",
            "telephone_number": "307-632-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 PRAIRIE AVE",
            "address_2": "SUITE 1",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094867",
            "telephone_number": "307-632-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TRACI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "19296.1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.