Active NPI
Veronica Jones
- Prevention Professional
- Louisa, KY
National Provider Identifier
1790220739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- PEER SPECIALIST
- Practice address
- 125 S Main Cross St
Louisa, KY 41230-1065 - Phone
- (606) 638-0938
- NPI assigned
- Dec 29, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | PEER SPECIALIST | KY | Primary |
Addresses
Primary practice location
125 S Main Cross St
Louisa, KY 41230-1065
Mailing address
125 North Main Cross St
Addiction Recovery Care
Louisa, KY 41230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40625872 | Other | KY | PEER SPECIALIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PEER SPECIALIST | KY | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1790220739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 NORTH MAIN CROSS ST",
"address_2": "ADDICTION RECOVERY CARE",
"city": "LOUISA",
"state": "KY",
"postal_code": "41230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S MAIN CROSS ST",
"city": "LOUISA",
"state": "KY",
"postal_code": "412301065",
"telephone_number": "606-638-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "VERONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-29",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "KY",
"license": "PEER SPECIALIST",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEER SPECIALIST",
"identifier": "40625872",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.