Individual provider Active NPI

Keith L Jones Sr.

  • Home Health Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1679123707
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2017027668 Issued in MO
Practice address
1204 Washington Ave Ste 408
Saint Louis, MO 63103-1944
Phone
(314) 354-6304
Fax
(314) 354-6305
NPI assigned
Sep 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 2017027668 MO Primary

Addresses

Primary practice location

1204 Washington Ave Ste 408
Saint Louis, MO 63103-1944

Mailing address

1204 Washington Ave Ste 408
Saint Louis, MO 63103-1944
Phone (314) 354-6304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2017027668MOMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Home Health in Home Care Inc CurrentSince Sep 5, 2021 Accepting new patients
Solace Home Healthcare LLC PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1679123707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 WASHINGTON AVE STE 408",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031944",
            "telephone_number": "314-354-6304",
            "fax_number": "314-354-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 WASHINGTON AVE STE 408",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031944",
            "telephone_number": "314-354-6304",
            "fax_number": "314-354-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEITH",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MO",
            "license": "2017027668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.