Individual provider Active NPI

Donna Jones

  • Social Worker
  • Memphis, TN
National Provider Identifier
1821643602
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11282 Issued in TN
Practice address
3146 Write PL Apt 4
Memphis, TN 38128-4535
Phone
(901) 430-6451
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1275 TN
Social Worker 104100000X 11282 TN Primary

Addresses

Primary practice location

3146 Write PL Apt 4
Memphis, TN 38128-4535

Mailing address

3146 Write PL Apt 4
Memphis, TN 38128-4535
Phone (901) 430-6451

Other identifiers 1

IdentifierTypeStateIssuer
0080051966MedicaidTN

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL dkjones66@yahoo.com
CONNECT URL dkjones66@yahoo.com
CONNECT URL dkjones66@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6025 Stage Rd
Suite 42 354
Bartlett, TN 38134-8374

6025 Stage Rd
Suite 42 354
Bartlett, TN 38134-8399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11282TNMDSocial Worker
1275TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clean, Inc. CurrentSince Aug 11, 2019 Accepting new patients
Gradually Restoring Our Walk Inc Current Accepting new patients

Locations

3900 New Covington Pike
Ste 114
Memphis, TN 38128

Interoperability endpoints

  • Direct secure messaging: donna.jones.p1@direct.tristatechc.nextgenshare.com

Organizations & group practices 2

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1821643602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 WRITE PL APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381284535",
            "telephone_number": "901-430-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 WRITE PL APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381284535",
            "telephone_number": "901-430-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1275",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "11282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080051966",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dkjones66@yahoo.com",
            "affiliation": "N",
            "address_1": "3146 Write Pl Apt 4",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381284535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dkjones66@yahoo.com",
            "affiliation": "N",
            "address_1": "3146 Write Pl Apt 4",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381284535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dkjones66@yahoo.com",
            "affiliation": "N",
            "address_1": "3146 Write Pl Apt 4",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381284535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.