Active NPI
Kathryn B. Jones, NP
- Acute Care Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1730299082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 960002
- Practice address
- 2200 Randolph Rd
Charlotte, NC 28207-1126 - Phone
- (980) 280-4010
- Fax
- (980) 280-4011
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 960002 | NC | Primary |
| Nurse Practitioner | 363L00000X | 960002 | NC |
Addresses
Primary practice location
2200 Randolph Rd
Charlotte, NC 28207-1126
Mailing address
2200 Randolph Rd
Charlotte, NC 28207-1126
Phone (980) 280-4010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 960002 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Primary Care, PA | Current | Accepting new patients | |
| Charlotte Radiology P a | Past | Accepting new patients | |
| Cardiology Specialists of the Carolinas, PA | Past | Accepting new patients |
Locations
1918 Randolph Rd
Ste 440
Charlotte, NC 28207
Phone (704) 342-8115
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1790762284
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1265697445
-
- Specialist
- Charlotte, NC
- NPI 1649220443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1730299082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071126",
"telephone_number": "980-280-4010",
"fax_number": "980-280-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071126",
"telephone_number": "980-280-4010",
"fax_number": "980-280-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KATHRYN",
"middle_name": "B.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "960002",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "960002",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.