Active NPI
Kelly Dawn Buie Jones, NP-C
- Nurse Practitioner
- Sanford, NC
National Provider Identifier
1952502957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0050-02897
- Practice address
- 106 Hillcrest Drive
Sanford, NC 27330 - Phone
- (919) 718-4640
- Fax
- (919) 718-4632
- NPI assigned
- May 29, 2007
- Last updated
- May 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0050-02897 | NC | Primary |
Addresses
Primary practice location
106 Hillcrest Drive
Sanford, NC 27330
Mailing address
106 Hillcrest Drive
Sanford, NC 27330
Phone (919) 718-4640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050-02897 | Other | NC | STATE LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-02897 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1952502957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 HILLCREST DRIVE",
"city": "SANFORD",
"state": "NC",
"postal_code": "27330",
"telephone_number": "919-718-4640",
"fax_number": "919-718-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 HILLCREST DRIVE",
"city": "SANFORD",
"state": "NC",
"postal_code": "27330",
"telephone_number": "919-718-4640",
"fax_number": "919-718-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUIE JONES",
"first_name": "KELLY",
"middle_name": "DAWN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "0050-02897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "0050-02897",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.