Beverly Sue Jones, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0046163 Issued in PR

Practice address

209 W Broadway St
Okemah, OK 74859-2618

Phone

(918) 623-2922

Fax

(918) 623-9316

NPI assigned

Jan 22, 2009

Last updated

Jan 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Beverly Sue Jones Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1679711188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W BROADWAY ST",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748592618",
            "telephone_number": "918-623-2922",
            "fax_number": "918-623-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W BROADWAY ST",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748592618",
            "telephone_number": "918-623-2922",
            "fax_number": "918-623-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BEVERLY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "0046163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100734620D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "JONES",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "REGISTERED NURSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Morgan Henry
• Angela Hernandez
• Sharon A. Iverson, RD
• Carmen Louise Johnson, RN, CDCES
• Jeri Johnson
• Jamie Lee Jones
• Travis Eugene Jones
• Melonie Dawn King, DO
• Rebecca Klutts, LMFT CANDIDATE
• Joseph Henry Landers, PHARMD

• Registered Nurse in Okemah, OK
• Providers in Okemah, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.