Individual provider Active NPI

Kaitlynn M Jones, PA-C

  • Medical Physician Assistant
  • Derby, CT
National Provider Identifier
1619392370
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3087 Issued in CT
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716002646 CT Practitioner - Physician Assistant 9739492935 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3087CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince May 14, 2015 Accepting new patients
Yale University CurrentSince May 14, 2015 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Yale University Past Accepting new patients
Alliance Medical Group, Inc PastSince Jan 1, 2010 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

  • Direct secure messaging: kaitlynn.jones@xdr.hhchealthdirect.org
  • Direct secure messaging: kjones152840@direct.ynhh.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.