Active NPI
Rakiyah Jones, MD
- Student in an Organized Health Care Education/Training Program
- Memphis, TN
National Provider Identifier
1841642204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 920 Madison Ave Suite 447
Memphis, TN 38163-0167 - Phone
- (901) 448-5814
- NPI assigned
- Jul 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 341521 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00818500 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | 341521 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
920 Madison Ave Suite 447
Memphis, TN 38163-0167
Mailing address
920 Madison Ave Ste 551
Memphis, TN 38103-3438
Phone (901) 448-5814
Other practice location 1
292 Bloomfield Ave Fl 2
Montclair, NJ 07042-3624
Phone (973) 500-6773
Other practice location 2
516 W 168th St Fl 1
New York, NY 10032-4103
Phone (212) 326-5705
Other practice location 3
185 Broadway Fl 2
New York, NY 10007-0167
Phone (888) 663-6331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05087632 | Medicaid | NY | |
| 0686786 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250522002474 | TN | Order and Referring Only - Internal Medicine | 1153698857 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341521 | NY | MD | Internal Medicine Physician |
Interoperability endpoints
- rakiyahjones@kinfolkfamilyhealth.kareodirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1841642204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MADISON AVE STE 551",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033438",
"telephone_number": "901-448-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MADISON AVE SUITE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381630167",
"telephone_number": "901-448-5814"
}
],
"practiceLocations": [
{
"address_1": "292 Bloomfield Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "NJ",
"postal_code": "070423624",
"country_code": "US",
"telephone_number": "973-500-6773",
"fax_number": "646-871-6800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "516 W 168th St Fl 1",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100324103",
"country_code": "US",
"telephone_number": "212-326-5705",
"fax_number": "212-342-0093",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "185 Broadway Fl 2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100070167",
"country_code": "US",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "RAKIYAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "341521",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00818500",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "341521",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05087632",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0686786",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.