Active NPI
Tanisha A Jones, BSN, RN, MSN, C-FNP
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1568609667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209010485
- Practice address
- 6501 S Promontory Dr
Chicago, IL 60649-1002 - Phone
- (773) 363-6700
- NPI assigned
- Jan 11, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209010485 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209010485 | IL | Primary |
| Nurse Practitioner | 363L00000X | 209010485 | IL |
Addresses
Primary practice location
6501 S Promontory Dr
Chicago, IL 60649-1002
Mailing address
6501 S Promontory Dr
Chicago, IL 60649-1002
Phone (773) 363-6700
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010485 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Family Doctors, PLLC | Past | Accepting new patients | |
| Saint Thomas Medical Partners | Past | Accepting new patients | |
| Larabida Childrens Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIFAAA
- tjones120974@uchospital.direct-ci.com
- tanisha.jones.1@11074.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Children's Chronic Disease Hospital
- Chicago, IL
- NPI 1922196138
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1629035654
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1568609667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 S PROMONTORY DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606491002",
"telephone_number": "773-363-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 S PROMONTORY DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606491002",
"telephone_number": "773-363-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TANISHA",
"middle_name": "A",
"credential": "BSN, RN, MSN, C-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-11",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209010485",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209010485",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209010485",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.