MEDICARE: KRISTEN KATE JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency		TX
2	253J00000X	Foster Care Agency		TX
3	311ZA0620X	Adult Care Home Facility		TX
4	225700000X	Massage Therapist	MT042589	TX
5	3747A0650X	Attendant Care Provider		TX

General Provider Information

NPI Number	:	1790291854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN KATE JONES

Provider Business Mailing Address
First Line	:	5755 RUFE SNOW DR STE 160
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-6058
Country	:	US
Telephone Number	:	817-330-4770
Fax Number	:

Provider Business Practice Location Address
First Line	:	5755 RUFE SNOW DR STE 160
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-6058
Country	:	US
Telephone Number	:	817-330-4770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2017
Last Update Date	:	05/15/2026

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