Individual provider Active NPI

Diane Keating Jones, D.O

  • Pediatrics Physician
  • Fort Drum, NY
National Provider Identifier
1881671006
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
233645-1 Issued in NY
Practice address
11050 Mount Belvedere Blvd
Family Practice Clinic
Fort Drum, NY 13602-5438
Phone
(315) 772-0859
NPI assigned
Dec 29, 2005
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 233645-1 NY Primary

Addresses

Primary practice location

11050 Mount Belvedere Blvd
Family Practice Clinic
Fort Drum, NY 13602-5438

Mailing address

1429 Gill St
438 Apt a
Watertown, NY 13601-2900
Phone (315) 786-1404

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
233645-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Center Past Accepting new patients
North Country Family Health Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: diane.keating.jones.1@21901.direct.athenahealth.com
  • Direct secure messaging: djones@cahclinics.medentdirect.com
  • Direct secure messaging: jonesd@hiemail.healtheconnections.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1881671006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 GILL ST",
            "address_2": "438 APT A",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012900",
            "telephone_number": "315-786-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "address_2": "FAMILY PRACTICE CLINIC",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025438",
            "telephone_number": "315-772-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DIANE",
        "middle_name": "KEATING",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "233645-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Drum, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.