Evette Renee Jones, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

193114 Issued in CA

Practice address

1600 Bailey Ave Ste 2
Needles, CA 92363-3105

Phone

(760) 326-9313

NPI assigned

Dec 31, 2024

Last updated

Dec 31, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of San Bernardino

  dba Apple Valley Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, CA
  • NPI 1346950904
  NPD (past)
• County of San Bernardino

  dba Needles Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Needles, CA
  • NPI 1508075805
  NPD (past)

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1922817436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 PEPPERWOOD ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923921214",
            "telephone_number": "760-561-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BAILEY AVE STE 2",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923633105",
            "telephone_number": "760-326-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EVETTE",
        "middle_name": "RENEE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "193114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Fernanda Gongora, DDS
• Bruce V. Graff, O.D.
• Shantell M Hazlewood
• Cynthia Hess, MHS
• Barbara A Hibbits, LMFT
• Douglas Eugene Kaylor, DDS
• Matthew Charles Kidd, MD
• William Robert Lansford, D.C.
• Di Lucas
• Lutheran Social Services of Southern California

• Licensed Vocational Nurse in Needles, CA
• Providers in Needles, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.