Individual provider Active NPI

Katie Jones, CPNP-PC, PMHNP-BC

  • Pediatric Nurse Practitioner
  • Arab, AL
National Provider Identifier
1588979736
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1112934 Issued in AL
Practice address
121 Golfview Dr NE
Arab, AL 35016-5473
Phone
(256) 931-5437
Fax
(833) 753-1386
NPI assigned
Aug 12, 2010
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1112934 AL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61601499 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2389757 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407137 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 81510 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 212569 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1204144 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X MJ9712109 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 04350 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X MJ964677 NY

Addresses

Primary practice location

121 Golfview Dr NE
Arab, AL 35016-5473

Mailing address

3020 Cranford Rd
Arab, AL 35016-4937
Phone (205) 617-8727

Other practice location 1

429 Mat Morrow Dr
Arab, AL 35016-5023
Phone (256) 925-3097 ext. 53097

Other practice location 2

99 Main St Ste 207
Nyack, NY 10960-3109
Phone (256) 925-3097

Other practice location 3

4313 6th Ave SE Ste C
Lacey, WA 98503-1072
Phone (256) 925-3097

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
Master of Science

State licenses

LicenseStateTypeSpecialty
1112934ALMDPediatric Nurse Practitioner
212569CTMDPsychiatric/Mental Health Nurse Practitioner
2389757MAMDPsychiatric/Mental Health Nurse Practitioner
81510NMMDPsychiatric/Mental Health Nurse Practitioner
407137NYMDPsychiatric/Mental Health Nurse Practitioner
MJ964677NYMDPsychiatric/Mental Health Nurse Practitioner
04350RIMDPsychiatric/Mental Health Nurse Practitioner
1204144TXMDPsychiatric/Mental Health Nurse Practitioner
61601499WAMDPsychiatric/Mental Health Nurse Practitioner
MJ9712109WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doorways to Peace Pediatrics CurrentSince Sep 15, 2024 Accepting new patients
Kids R US Pediatrics LLC Past Accepting new patients
St Health TX, P.a. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1588979736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CRANFORD RD",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350164937",
            "telephone_number": "205-617-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GOLFVIEW DR NE",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350165473",
            "telephone_number": "256-931-5437",
            "fax_number": "833-753-1386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Mat Morrow Dr",
            "address_purpose": "LOCATION",
            "city": "Arab",
            "state": "AL",
            "postal_code": "350165023",
            "country_code": "US",
            "telephone_number": "256-925-3097 x53097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Main St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109603109",
            "country_code": "US",
            "telephone_number": "256-925-3097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4313 6th Ave SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985031072",
            "country_code": "US",
            "telephone_number": "256-925-3097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATIE",
        "credential": "CPNP-PC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1112934",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61601499",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2389757",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407137",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "81510",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "212569",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1204144",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "MJ9712109",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "04350",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "MJ964677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arab, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.