Active NPI
Desiree McDonald, APRN
- Neonatal Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1124563036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP133730
- Practice address
- 5805 Sparrow CT
Fort Worth, TX 76135-5395 - Phone
- (817) 703-9045
- NPI assigned
- Dec 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 751418 | TX | |
| Neonatal Nurse Practitioner | 363LN0000X | AP133730 | TX | Primary |
Addresses
Primary practice location
5805 Sparrow CT
Fort Worth, TX 76135-5395
Mailing address
1400 8TH Ave # Cn362
Fort Worth, TX 76104-4110
Phone (817) 703-9045
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 |
|---|---|---|---|
| 751418 | TX | MD | Registered Nurse |
| AP133730 | TX | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1124563036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 8TH AVE # CN362",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044110",
"telephone_number": "817-703-9045",
"fax_number": "817-922-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 SPARROW CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761355395",
"telephone_number": "817-703-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "DESIREE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-31",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "751418",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "AP133730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.