Active NPI
Johnny Michael Jones, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1760994875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP135226
- Practice address
- 3210 56TH St
Lubbock, TX 79413-4811 - Phone
- (806) 474-4392
- NPI assigned
- Oct 30, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 788612 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP135226 | TX | Primary |
Addresses
Primary practice location
3210 56TH St
Lubbock, TX 79413-4811
Mailing address
3210 56TH St
Lubbock, TX 79413-4811
Phone (806) 474-4392
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)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 788612 | TX | MD | Registered Nurse |
| AP135226 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Family Health Clinic, PLLC | Family | Current | 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": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1760994875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 56TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794134811",
"telephone_number": "806-474-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 56TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794134811",
"telephone_number": "806-474-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JOHNNY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "788612",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.