Individual provider Active NPI

Elizabeth B. Jones, FNP

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1821048646
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010016189 Issued in VT
Practice address
4511 N Davis Hwy
Suite 1-C
Pensacola, FL 32503-2720
Phone
(850) 476-9088
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1010016189 VT Primary
Family Nurse Practitioner 363LF0000X ARNP 9335078 FL

Addresses

Primary practice location

4511 N Davis Hwy
Suite 1-C
Pensacola, FL 32503-2720

Mailing address

4511 N Davis Hwy
Suite 1-C
Pensacola, FL 32503-2720
Phone (850) 476-9088

Other identifiers 1

IdentifierTypeStateIssuer
ONP3078MedicaidVT

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

State licenses

LicenseStateTypeSpecialty
ARNP 9335078FLMDFamily Nurse Practitioner
1010016189VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avenir Ventures, L.L.C. PastSince Jun 1, 2012 Accepting new patients
Npoc LLC Family PastSince Apr 8, 2018 Accepting new patients
Comfort Care Medical Group PA Past Accepting new patients
Avenir Ventures, L.L.C. Past Accepting new patients

Organizations & group practices 4

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1821048646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 N DAVIS HWY",
            "address_2": "SUITE 1-C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032720",
            "telephone_number": "850-476-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 N DAVIS HWY",
            "address_2": "SUITE 1-C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032720",
            "telephone_number": "850-476-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ELIZABETH",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "1010016189",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9335078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONP3078",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.