Nikki Lynn Jones

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3585 Hawver Rd
San Andreas, CA 95249-9524

Phone

(209) 754-1249

Fax

(209) 754-1087

NPI assigned

Aug 10, 2021

Last updated

Aug 10, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oakendell Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Andreas, CA
  • NPI 1922772144
  NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1710652987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952491144",
            "telephone_number": "209-754-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 HAWVER RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499524",
            "telephone_number": "209-754-1249",
            "fax_number": "209-754-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NIKKI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyatt Jaffe, MD
• Hee Jeong, DDS
• Gary Ronald Johnson, M.D.
• Mayle Johnson
• Jarajavin Jones
• Jennifer L Joses, P.A.
• Marjorie Frances Kallis, R.N.
• Karen Karam, LCSW
• Denise L Keiser
• Dean Matthew Kelaita, M.D.

• Case Manager/Care Coordinator in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.