Individual provider Active NPI

Ebony Dione Jones, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1053084509
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1143012 Issued in TX
Practice address
413 W Rosedale St
Ft Worth, TX 76104-4808
Phone
(817) 348-8082
Fax
(817) 570-0709
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 1143012 TX Primary

Addresses

Primary practice location

413 W Rosedale St
Ft Worth, TX 76104-4808

Mailing address

318 N Parkdale Dr
Tyler, TX 75702-4858
Phone (903) 360-0580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240918003663 TX Practitioner - Nurse Practitioner 4284175159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1001 12TH Ave
Fort Worth, TX 76104-3926
Phone (817) 332-9968

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

413 W Rosedale
Privia Med GRP N TX
Fortt Worth, TX 76104-4808
Phone (817) 348-8082

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Feb 23, 2026 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Sep 3, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 23, 2026 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Sep 3, 2024 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Premier Pain Centers PA PastSince Jul 1, 2024 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

413 W Rosedale St
Ft Worth, TX 76104
Phone (817) 348-8082

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

Interoperability endpoints

  • Direct secure messaging: ebony.jones.p1@direct.thc.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1053084509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N PARKDALE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757024858",
            "telephone_number": "903-360-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W ROSEDALE ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044808",
            "telephone_number": "817-348-8082",
            "fax_number": "817-570-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EBONY",
        "middle_name": "DIONE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1143012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.