Healthcare Provider Details

I. General information

NPI: 1033799614
Provider Name (Legal Business Name): NATASHA Y JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 JACKSON ST APT 113
OMAHA NE
68102-2876
US

IV. Provider business mailing address

1323 JACKSON ST APT 113
OMAHA NE
68102-2876
US

V. Phone/Fax

Practice location:
  • Phone: 703-731-4013
  • Fax:
Mailing address:
  • Phone: 703-731-4013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: