Kate Jones

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11029425 Issued in FL

Practice address

525 Technology Park Ste 109
Lake Mary, FL 32746-7107

Phone

(407) 647-2346

NPI assigned

Jan 2, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revive Transitional Care and in Home Primary Medicine LLCGroup PAC ID 3870950868, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Revive Transitional Care and in Home Primary Medicine, LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1851096796
  Medicare reassignment Care Compare group NPD
• Central Florida Inpatient Medicine LLC

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1649228859
  Medicare reassignment NPD
• Dr Jose a Rivera LLC

  • Wound Care Registered Nurse
  • Maitland, FL
  • NPI 1649881434

  Primary Care

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Mississippi-TCG, Inc.

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1386122877

  FL

  Medicare reassignment NPD
• Mark a. Bobek M.D., PA

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1932186137
  NPD (past)

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1689444697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 ZANDER DR",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359020",
            "telephone_number": "352-345-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY PARK STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467107",
            "telephone_number": "407-647-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11029425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Lynn Johnson, FNLP
• Tashada Johnson
• Versan Johnson, M.D.
• Crystal Johnston Garcia, MSN, APRN, FNP-BC
• Dean Livingston Johnston, M.D.
• Mariah Deramo Jones, LCSW
• Natassia T Jones, AGACNP-BC
• Oyindamola Jones, OTR/L
• Tahliq Jones
• Tiffany Dyann Jones, PHYSICIAN ASSISTANT

• Primary Care Nurse Practitioner in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.