Individual provider Active NPI

Patricia McCall Jones, APN

  • Pediatric Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1801987144
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
LJ0000170 Issued in DE
Practice address
3521 Silverside Rd Ste 1F
Brandywine Pediatrics
Wilmington, DE 19810-4917
Phone
(302) 478-2613
Fax
(302) 478-2637
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X LJ0000170 DE Primary

Addresses

Primary practice location

3521 Silverside Rd Ste 1F
Brandywine Pediatrics
Wilmington, DE 19810-4917

Mailing address

3521 Silverside Road Ste 1F
Brandywine Pediatrics
Wilmington, DE 19810-4917
Phone (302) 478-2613

Other identifiers 1

IdentifierTypeStateIssuer
100842MedicaidDE

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LJ0000170DEMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1801987144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 SILVERSIDE ROAD STE 1F",
            "address_2": "BRANDYWINE PEDIATRICS",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104917",
            "telephone_number": "302-478-2613",
            "fax_number": "302-478-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 SILVERSIDE RD STE 1F",
            "address_2": "BRANDYWINE PEDIATRICS",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104917",
            "telephone_number": "302-478-2613",
            "fax_number": "302-478-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PATRICIA",
        "middle_name": "MCCALL",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "DE",
            "license": "LJ0000170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100842",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.