Kashana Latrice Jones

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

902953 Issued in MS

Practice address

1673 N Royal St
Jackson, TN 38301

Phone

(731) 265-1997

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBCFAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD
• Ultimate Health Clinic North

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1013643998
  NPD (past)
• Ultimate Health Clinic PC

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1669567707
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1831672021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 N ROYAL ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013607",
            "telephone_number": "731-265-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 N ROYAL ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "731-265-1997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1967 Westwind Dr",
            "address_purpose": "LOCATION",
            "city": "Nesbit",
            "state": "MS",
            "postal_code": "386517344",
            "country_code": "US",
            "telephone_number": "901-626-9579 x90162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1967 Westwind Dr",
            "address_purpose": "LOCATION",
            "city": "Nesbit",
            "state": "MS",
            "postal_code": "386517344",
            "country_code": "US",
            "telephone_number": "901-626-9579 x90162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KASHANA",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "902953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Jones III, LCSW
• James Ausbin Jones Jr., LCSW
• James Dustin Jones, RN
• Janice L Jones, CASE MANAGER
• Jerry W. Jones Jr., MD
• Kathryn Owen Jones, PHARMD
• Kenyata Latasha Jones
• Latoya Denitrick Jones
• Nicole Jones, MD
• Rachel Rebecca Jones, PT

• Family Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.