Individual provider Active NPI

Felicia Moody Jones, FNP

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1952716417
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171714 Issued in VA
Practice address
4714 Marshall Ave
Newport News, VA 23607-2247
Phone
(757) 380-8709
Fax
(757) 952-1345
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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 0024171714 VA Primary

Addresses

Primary practice location

4714 Marshall Ave
Newport News, VA 23607-2247

Mailing address

4714 Marshall Ave
48TH Street Physicians
Newport News, VA 23607
Phone (757) 380-8709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706001755 VA Order and Referring Only - Nurse Practitioner 5395057327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1952716417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 MARSHALL AVE",
            "address_2": "48TH STREET PHYSICIANS",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23607",
            "telephone_number": "757-380-8709",
            "fax_number": "757-952-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 MARSHALL AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236072247",
            "telephone_number": "757-380-8709",
            "fax_number": "757-952-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "FELICIA",
        "middle_name": "MOODY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.