Active NPI
Barbara Gwen Jones
- Registered Nurse
- Manlius, NY
National Provider Identifier
1588204556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 784130-01
- Practice address
- 4978 Adah Dr
Manlius, NY 13104-1101 - Phone
- (267) 718-1236
- NPI assigned
- Jan 8, 2020
- Last updated
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 784130-01 | NY | Primary |
Addresses
Primary practice location
4978 Adah Dr
Manlius, NY 13104-1101
Mailing address
4978 Adah Dr
Manlius, NY 13104-1101
Phone (267) 718-1236
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 784130-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1588204556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4978 ADAH DR",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131041101",
"telephone_number": "267-718-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4978 ADAH DR",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131041101",
"telephone_number": "267-718-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BARBARA",
"middle_name": "GWEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "784130-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manlius, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.