Individual provider Active NPI

Stephanie Michele Jones, FNP

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1114679404
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1059148 Issued in TX
Practice address
1601 W Hebron Pkwy Ste 100
Carrollton, TX 75010-6342
Phone
(724) 268-6759
Fax
(972) 492-4694
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 1059148 TX Primary

Addresses

Primary practice location

1601 W Hebron Pkwy Ste 100
Carrollton, TX 75010-6342

Mailing address

1601 W Hebron Pkwy Ste 100
Carrollton, TX 75010-6342
Phone (724) 268-6759

Other names 1

  • Ms. Stephanie Michele Jones Professional name

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
I20220209000396 TX Practitioner - Nurse Practitioner 5890188155 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC CurrentSince Jun 6, 2022 Accepting new patients
Medical Clinic of North Texas, PLLC Current Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Jun 6, 2022 Accepting new patients

Locations

1601 W Hebron Pkwy
Ste 100
Carrollton, TX 75010
Phone (972) 426-8675

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • Direct secure messaging: stephanie.jones.d1.p2@direct.aara.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1114679404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W HEBRON PKWY STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106342",
            "telephone_number": "724-268-6759",
            "fax_number": "972-492-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W HEBRON PKWY STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106342",
            "telephone_number": "724-268-6759",
            "fax_number": "972-492-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1059148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "JONES",
            "middle_name": "MICHELE",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.