Active NPI
Tracy Francine Jones, RN
- Home Health Agency
- Grants, NM
National Provider Identifier
1598018111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- IT3407
- Practice address
- 617 N 1St St
Grants, NM 87020-2703 - Phone
- (505) 287-5601
- Fax
- (505) 287-9343
- NPI assigned
- Oct 19, 2012
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IT3407 | NM | Primary |
Addresses
Primary practice location
617 N 1St St
Grants, NM 87020-2703
Mailing address
617 N 1St St
Grants, NM 87020-2703
Phone (505) 287-5601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616608700 | Other | NM | DEEOICP |
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 |
|---|---|---|---|
| IT3407 | NM | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1598018111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 N 1ST ST",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202703",
"telephone_number": "505-287-5601",
"fax_number": "505-287-9343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 N 1ST ST",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202703",
"telephone_number": "505-287-5601",
"fax_number": "505-287-9343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TRACY",
"middle_name": "FRANCINE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NM",
"license": "IT3407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEEOICP",
"identifier": "616608700",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.