Khyrista Denise Jones, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5101026868 Issued in MI

Practice address

23133 Orchard Lake Rd Ste 100
Farmington, MI 48336-3278

Phone

(248) 477-0100

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Khyrista Valentine Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjones1240303@epic00.shdirect.org

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.

• Botsford General Hospital

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1831402056
  Medicare reassignment NPD
• Botsford General Hospital

  • Pediatrics Physician
  • Farmington, MI
  • NPI 1437191947
  NPD
• Botsford General Hospital

  • General Acute Care Hospital
  • Farmington Hills, MI
  • NPI 1336183367
  NPD (past)
• Botsford General Hospital

  • Pediatric Registered Nurse
  • Farmington, MI
  • NPI 1417134149
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1821652835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 100",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363278",
            "telephone_number": "248-477-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 W Grand Blvd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023026",
            "country_code": "US",
            "telephone_number": "816-721-8955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KHYRISTA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101026868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjones4194432@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "23133 Orchard Lake Rd Ste 100",
            "city": "Farmington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483363278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KHYRISTA",
            "last_name": "VALENTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey S. Leider, MD,PC
• Jill'S Genuine Care Pharmacy, LLC
• Takara Johnson
• Jonathan Cromwell D.C., P.C.
• Tammy Lynn Jones Scarfe, DC
• Kamran F. Sheikh MD PC
• Nicole Karmo
• Sylvia Kasparian, SYLVIA KECHIAN
• Jolian Sam Kathawa, D.O.
• Kelly Kays, LLPC

• Pediatrics Physician in Farmington, MI
• Providers in Farmington, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.