Individual provider Active NPI

Tequilla Jones-Mobley

  • Social Worker
  • West Palm Beach, FL
National Provider Identifier
1902249857
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1363 Banyan LN
West Palm Beach
West Palm Beach, FL 33415-2776
Phone
(561) 261-0065
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1363 Banyan LN
West Palm Beach
West Palm Beach, FL 33415-2776

Mailing address

1363 Banyan LN
West Palm Beach
West Palm Beach, FL 33415-2776
Phone (561) 261-0065

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1902249857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 BANYAN LN",
            "address_2": "WEST PALM BEACH",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334152776",
            "telephone_number": "561-261-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 BANYAN LN",
            "address_2": "WEST PALM BEACH",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334152776",
            "telephone_number": "561-261-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-MOBLEY",
        "first_name": "TEQUILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.