Active NPI
Patricia Ann Jones
- Oxygen Equipment & Supplies (DME)
- Mesquite, TX
National Provider Identifier
1013935014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0089506
- Practice address
- 3129 Interstate 30
Suite a
Mesquite, TX 75150-2701 - Phone
- (972) 279-9702
- Fax
- (972) 279-9705
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 0089506 | TX | |
| Dialysis Equipment & Supplies (DME) | 332BD1200X | 0089506 | TX | |
| Nursing Facility Supplies (DME) | 332BN1400X | 0089506 | TX | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0089506 | TX | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0089506 | TX | Primary |
Addresses
Primary practice location
3129 Interstate 30
Suite a
Mesquite, TX 75150-2701
Mailing address
3129 Interstate 30
Suite a
Mesquite, TX 75150-2701
Phone (972) 279-9702
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183877301 | Medicaid | TX | |
| 183877302 | Medicaid | TX |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0089506 | TX | MD | Nursing Facility Supplies (DME) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Medical Supply & Equipment, Inc. | Oxygen Equipment & Supplies | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oxygen Equipment & Supplies (DME)
- Mesquite, TX
- NPI 1922240654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1013935014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3129 INTERSTATE 30",
"address_2": "SUITE A",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502701",
"telephone_number": "972-279-9702",
"fax_number": "972-279-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 INTERSTATE 30",
"address_2": "SUITE A",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502701",
"telephone_number": "972-279-9702",
"fax_number": "972-279-9705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TX",
"license": "0089506",
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": "TX",
"license": "0089506",
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "TX",
"license": "0089506",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "0089506",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TX",
"license": "0089506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183877301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183877302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.