Individual provider Active NPI

Elizabeth F. Jones, PA-C

  • Medical Physician Assistant
  • Lexington, KY
National Provider Identifier
1730197088
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-045 Issued in KY
Practice address
151 N Eagle Creek Dr
Suite 410
Lexington, KY 40509-1889
Phone
(859) 263-0329
Fax
(859) 263-2381
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-045 KY
Medical Physician Assistant 363AM0700X PA-045 KY Primary

Addresses

Primary practice location

151 N Eagle Creek Dr
Suite 410
Lexington, KY 40509-1889

Mailing address

1205 Medellin CT
Lexington, KY 40502-3807
Phone (859) 263-0329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20061204000409 KY Practitioner - Physician Assistant 2567461411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-045KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Staley-Mueller Primary Care, Et Al, PSC Past Accepting new patients

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1730197088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MEDELLIN CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023807",
            "telephone_number": "859-263-0329",
            "fax_number": "859-263-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N EAGLE CREEK DR",
            "address_2": "SUITE 410",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091889",
            "telephone_number": "859-263-0329",
            "fax_number": "859-263-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ELIZABETH",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA-045",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA-045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.