Kevin Wayne Jones, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0109 Issued in AZ

Practice address

5621 S. 24TH Street
Jones Concrete Construction LLC
Phoenix, AZ 85040

Phone

(602) 319-1871

Fax

(602) 323-9291

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639200017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W HESS AVE",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "852283508",
            "telephone_number": "520-723-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 S. 24TH STREET",
            "address_2": "JONES CONCRETE CONSTRUCTION LLC",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85040",
            "telephone_number": "602-319-1871",
            "fax_number": "602-323-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin A Jones, DMD
• Karen L Jones, NP
• Katie Jones
• Kelsey Jones, LPC
• Kerri Lynne Jones, NMD
• Kimberly Joan Parlee Jones, LCSW
• Lamont Jones
• Lateace Jones
• Latoya Lavette Jones, LNA
• Latrina Jones

• Athletic Trainer in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.