Active NPI
Kaitlynn M Jones, PA-C
- Medical Physician Assistant
- Derby, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3087
- Practice address
- 130 Division St
Derby, CT 06418-1326 - Phone
- (203) 732-7252
- Fax
- (203) 732-1539
- NPI assigned
- Mar 4, 2014
- Last updated
- Sep 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3087 | CT | Primary |
| Surgical Physician Assistant | 363AS0400X | 3087 | CT |
Addresses
Primary practice location
130 Division St
Derby, CT 06418-1326
Mailing address
27 Hunting Hills Dr
Southington, CT 06489-4415
Phone (203) 901-5370
Other practice location 1
64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6232
Other practice location 2
20 York St
Hunter 4
New Haven, CT 06510-3220
Phone (203) 688-2320
Other practice location 3
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5691
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjones36535@connecticutchildrens.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3087 | CT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Connecticut Children's Specialty Group, Inc. | Current | Accepting new patients | |
| Yale University | Past | Accepting new patients | |
| Alliance Medical Group, Inc | Past | Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
1625 Straits Tpke
Ste 110
Middlebury, CT 06762
Phone (203) 758-8107
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
20 York St
#4
New Haven, CT 06510
Phone (203) 200-5864
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
Interoperability endpoints
- kaitlynn.jones@xdr.hhchealthdirect.org
- kjones152840@direct.ynhh.org
- kjones36535@connecticutchildrens.direct-ci.com
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Derby, CT
- NPI 1598755605
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Internal Medicine Physician
- Middlebury, CT
- NPI 1316273071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1619392370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 HUNTING HILLS DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064894415",
"telephone_number": "203-901-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 DIVISION ST",
"city": "DERBY",
"state": "CT",
"postal_code": "064181326",
"telephone_number": "203-732-7252",
"fax_number": "203-732-1539"
}
],
"practiceLocations": [
{
"address_1": "64 Robbins St",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067082613",
"country_code": "US",
"telephone_number": "203-573-6232",
"fax_number": "203-573-6030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 York St",
"address_2": "Hunter 4",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-2320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Grand St",
"address_purpose": "LOCATION",
"city": "New Britain",
"state": "CT",
"postal_code": "060522016",
"country_code": "US",
"telephone_number": "860-224-5691",
"fax_number": "860-224-5975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "KAITLYNN",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "3087",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "3087",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kjones36535@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "100 Grand St",
"city": "New Britain",
"state": "CT",
"country_code": "US",
"postal_code": "060522016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.