Individual provider Active NPI

Kortney Rose Jones, NP-C

  • Family Nurse Practitioner
  • Richland, WA
National Provider Identifier
1679194393
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61078740 Issued in WA
Practice address
1045 Jadwin Ave
Richland, WA 99352-3405
Phone
(509) 392-6700
Fax
(509) 392-6699
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60479774 WA
Family Nurse Practitioner 363LF0000X AP61078740 WA Primary

Addresses

Primary practice location

1045 Jadwin Ave
Richland, WA 99352-3405

Mailing address

1045 Jadwin Ave
Richland, WA 99352-3405
Phone (509) 392-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220709000542 WA Practitioner - Nurse Practitioner 5597162966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Healthcare for Women PLLCGroup PAC ID 2264605872, 2 clinicians

Practice addresses (Care Compare)

1045 Jadwin Ave
Richland, WA 99352-3405
Phone (509) 392-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60479774WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Healthcare for Women PLLC CurrentSince Mar 5, 2022 Accepting new patients

Locations

1045 Jadwin Ave
Richland, WA 99352
Phone (509) 392-6700

Organizations & group practices 1

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1679194393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523405",
            "telephone_number": "509-392-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523405",
            "telephone_number": "509-392-6700",
            "fax_number": "509-392-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KORTNEY",
        "middle_name": "ROSE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60479774",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61078740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.