Ivan Quinton Jones, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN167319 Issued in AZ

Practice address

8335 Old Aztec Hwy
Flora Vista, NM 87415-9639

Phone

(435) 220-1051

NPI assigned

Aug 1, 2011

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sandstone Clinic LLC

  • Wound Care Registered Nurse
  • Rock Point, AZ
  • NPI 1265193916
  NPD Authorized official
• Tachiinii Nursing Services, Inc.

  • Home Health Agency
  • Rock Point, AZ
  • NPI 1184995318
  NPD Authorized official
• Tangle Water Non Emergency Medical Transportation

  • Private Vehicle
  • Blanding, UT
  • NPI 1356639884
  NPD (past) Authorized official

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1649558107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 SCHOFIELD LN",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874017453",
            "telephone_number": "505-327-7616",
            "fax_number": "505-327-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 OLD AZTEC HWY",
            "city": "FLORA VISTA",
            "state": "NM",
            "postal_code": "874159639",
            "telephone_number": "435-220-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "IVAN",
        "middle_name": "QUINTON",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN167319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Denise Baird, RD
• Circle Heart Therapy LLC
• Samantha Clelland
• Optical Shades N Specs, LLC
• Doug Pendergrass, D.C.
• Emilyann Ramirez
• Sierra A Villanueva

• Registered Nurse in Flora Vista, NM
• Providers in Flora Vista, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.