Deanielle Coillisha Jones

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

445 Short St
Forrest City, AR 72335-2852

Phone

(940) 390-0968

NPI assigned

Dec 20, 2022

Last updated

Dec 20, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1780396929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 SHORT ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352852",
            "telephone_number": "940-390-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 SHORT ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352852",
            "telephone_number": "940-390-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DEANIELLE",
        "middle_name": "COILLISHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy T Johnson
• Nathalie Johnson, BS MHPP
• Summer Ashton Johnson
• Shonda Jones-Kelly
• Betty Jean Jones, FNP
• Jessica Katherine Jones, FNP
• Ruthy Jones
• Tracy Jill Jones, APRN
• Jamie Jordan, PTA
• Shelia Jordan

• Home Health Aide in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Home Health Aide in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.