Active NPI
Ursula Tabitha Jones, FNP
- Registered Nurse
- Detroit, MI
National Provider Identifier
1659823847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704270914
- Practice address
- 17312 Forrer St
Detroit, MI 48235-3538 - Phone
- (313) 330-8066
- NPI assigned
- Nov 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704270914 | MI | Primary |
Addresses
Primary practice location
17312 Forrer St
Detroit, MI 48235-3538
Mailing address
17312 Forrer St
Detroit, MI 48235-3538
Phone (313) 330-8066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180327000123 | MI | Practitioner - Nurse Practitioner | 5395007686 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704270914 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1659823847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17312 FORRER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353538",
"telephone_number": "313-330-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17312 FORRER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353538",
"telephone_number": "313-330-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "URSULA",
"middle_name": "TABITHA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704270914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.