Active NPI
Jacqueline Marie Jones
- Behavior Technician
- Nashville, TN
National Provider Identifier
1790287530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-15-03050
- Practice address
- 916 Holgate CT
Nashville, TN 37221-6630 - Phone
- (615) 663-8872
- NPI assigned
- Mar 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-03050 | TN | Primary |
Addresses
Primary practice location
916 Holgate CT
Nashville, TN 37221-6630
Mailing address
916 Holgate CT
Nashville, TN 37221-6630
Phone (615) 663-8872
Other practice location 1
585 Anita Dr
Clarksville, TN 37042-7126
Phone (615) 525-5908
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 |
|---|---|---|---|
| RBT-15-03050 | TN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastiche Partners | Behavior Technician | Past | 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": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1790287530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 HOLGATE CT",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372216630",
"telephone_number": "615-663-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 HOLGATE CT",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372216630",
"telephone_number": "615-663-8872"
}
],
"practiceLocations": [
{
"address_1": "585 Anita Dr",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370427126",
"country_code": "US",
"telephone_number": "615-525-5908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "RBT-15-03050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.