Individual provider Active NPI

Amanda Lanae Jones, NP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1922682053
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
248637 Issued in AZ
Practice address
6915 E Main St Ste 202
Mesa, AZ 85207-8202
Phone
(148) 079-1601
NPI assigned
May 5, 2021
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 248637 AZ Primary

Addresses

Primary practice location

6915 E Main St Ste 202
Mesa, AZ 85207-8202

Mailing address

6915 E Main St Ste 202
Mesa, AZ 85207-8202
Phone (480) 791-6016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Creative Care Inc. CurrentSince Mar 12, 2024 Accepting new patients

Locations

247 N Macdonald
Mesa, AZ 85201
Phone (480) 464-1061

6915 E Main St
Mesa, AZ 85207
Phone (480) 464-1061

6915 E Main St
Ste 202
Mesa, AZ 85207

Organizations & group practices 1

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1922682053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 E MAIN ST STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078202",
            "telephone_number": "480-791-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 E MAIN ST STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078202",
            "telephone_number": "148-079-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMANDA",
        "middle_name": "LANAE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "248637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.