Active NPI
Rickie Jones
- Community/Behavioral Health Agency
- Havana, FL
National Provider Identifier
1790348183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 30 Ira Bunion Rd
Havana, FL 32333-5349 - Phone
- (850) 321-5617
- NPI assigned
- Apr 21, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
30 Ira Bunion Rd
Havana, FL 32333-5349
Mailing address
30 Ira Bunion Rd
Havana, FL 32333-5349
Phone (850) 321-5617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017681100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rickiejonestransport@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555804800000",
"number": "1790348183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 IRA BUNION RD",
"city": "HAVANA",
"state": "FL",
"postal_code": "323335349",
"telephone_number": "850-321-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 IRA BUNION RD",
"city": "HAVANA",
"state": "FL",
"postal_code": "323335349",
"telephone_number": "850-321-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RICKIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-21",
"last_updated": "2019-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017681100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rickiejonestransport@gmail.com",
"affiliation": "N",
"address_1": "30 Ira Bunion Rd",
"city": "Havana",
"state": "FL",
"country_code": "US",
"postal_code": "323335349",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Havana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.