Theresa A Jones-Kingman, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

F360213 Issued in NY

Practice address

713 Troy Schenectady Rd Ste 215
Latham, NY 12110-2490

Phone

(518) 370-7937

Fax

(518) 377-2983

NPI assigned

Jul 15, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment
• Saratoga Regional Medical , P.C

  • Nephrology Physician
  • Glens Falls, NY
  • NPI 1982094827
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1740289420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 TROY SCHENECTADY RD STE 215",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102490",
            "telephone_number": "518-370-7937",
            "fax_number": "518-377-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-KINGMAN",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F360213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01857607",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Jenkins, PSYD
• Tamara T John, LMHC
• Arthur Edmund Johnsen Jr., PHARM. D
• Aletheia Lynn Johnson, MA, LMHC
• Marisa Johnson
• Avery Jones, LMSW
• Christen Rose Jones, DPT
• Jocelyn R Jones, M.S. CCC-SLP
• McKenzie A Jones, N.P.
• Saphire Jones

• Obstetrics & Gynecology Nurse Practitioner in Latham, NY
• Providers in Latham, NY by specialty
• Obstetrics & Gynecology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.