Individual provider Active NPI

Paula Eveyette Jones

  • Prosthetics Case Management
  • Mobile, AL
National Provider Identifier
1811550932
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
32676 Issued in AL
Practice address
729 Lakeside Dr W
Mobile, AL 36693-5125
Phone
(251) 661-1747
Fax
(251) 661-1730
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 32676 AL Primary

Addresses

Primary practice location

729 Lakeside Dr W
Mobile, AL 36693-5125

Mailing address

729 Lakeside Dr W
Mobile, AL 36693-5125
Phone (251) 661-1747

Other identifiers 1

IdentifierTypeStateIssuer
32676MedicaidAL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paulas Hair Unlimited CurrentSince Jun 21, 2020 Accepting new patients

Locations

729 Lakeside Dr W
Mobile, AL 36693
Phone (251) 661-1747

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1811550932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 LAKESIDE DR W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366935125",
            "telephone_number": "251-661-1747",
            "fax_number": "251-661-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 LAKESIDE DR W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366935125",
            "telephone_number": "251-661-1747",
            "fax_number": "251-661-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PAULA",
        "middle_name": "EVEYETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "AL",
            "license": "32676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32676",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.