Jason Ford, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

65748 Issued in NC

Practice address

1317 Rose of Sharon CT
Pleasant Garden, NC 27313-8216

Phone

(336) 253-3354

NPI assigned

Mar 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1609293240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROSE OF SHARON CT",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273138216",
            "telephone_number": "336-253-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 ROSE OF SHARON CT",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273138216",
            "telephone_number": "336-253-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JASON",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "65748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Clodfelter
• Connecting Bridges LLC.
• Kevin Terence Cunningham, MS CCC-SLP
• Wilson O Elkins, MD
• Molly Fash
• Whitney Hancock Gauldin, M. ED.
• Angela Gehrt, OTR/L
• Sallie N Harrell, NNP-BC
• Lisa Tofano Hathaway, MBA, MA
• Kendra Hensley

• Licensed Practical Nurse in Pleasant Garden, NC
• Providers in Pleasant Garden, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.