Individual provider Active NPI

Qwentina Jones, DNP RN

  • Registered Nurse
  • Detroit, MI
National Provider Identifier
1801530266
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704304886 Issued in MI
Practice address
18675 Kentucky St
Detroit, MI 48221-2005
Phone
(248) 919-8104
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 4704304886 MI
Continence Care Registered Nurse 163WC2100X 4704304886 MI
Home Health Registered Nurse 163WH0200X 4704304886 MI
Hospice Registered Nurse 163WH1000X 4704304886 MI
Infusion Therapy Registered Nurse 163WI0500X 4704304886 MI
Infection Control Registered Nurse 163WI0600X 4704304886 MI
Nutrition Support Registered Nurse 163WN1003X 4704304886 MI
Wound Care Registered Nurse 163WW0000X 4704304886 MI
Registered Nurse 163W00000X 4704304886 MI Primary

Addresses

Primary practice location

18675 Kentucky St
Detroit, MI 48221-2005

Mailing address

18675 Kentucky St
Detroit, MI 48221-2005
Phone (313) 258-3053

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704304886MIMDHospice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1801530266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18675 KENTUCKY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212005",
            "telephone_number": "313-258-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18675 KENTUCKY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212005",
            "telephone_number": "248-919-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "QWENTINA",
        "name_prefix": "Dr.",
        "credential": "DNP RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704304886",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "MI",
            "license": "4704304886",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704304886",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MI",
            "license": "4704304886",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "MI",
            "license": "4704304886",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "MI",
            "license": "4704304886",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "MI",
            "license": "4704304886",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MI",
            "license": "4704304886",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704304886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.