Individual provider Active NPI

Donnica Jones, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1730786682
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2020023346 Issued in MO
Practice address
527 Tuskegee Airman Avenue
BLDG 500
Wichita Falls, TX 76310
Phone
(940) 676-1000
Fax
(940) 676-1000
NPI assigned
Oct 5, 2020
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2020023346 MO Primary

Addresses

Primary practice location

527 Tuskegee Airman Avenue
BLDG 500
Wichita Falls, TX 76310

Mailing address

527 Tuskegee Airman Avenue
BLDG 500
Wichita Falls, TX 76310
Phone (940) 676-1000

Other identifiers 3

IdentifierTypeStateIssuer
2020023346OtherMOMISSOURI LICENSE
53-79656-062OtherKSKANSAS LICENSE
1730786682OtherMOTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Oct 5, 2020 Accepting new patients
Swope Health Services CurrentSince Oct 5, 2020 Accepting new patients
Swope Health Services Current Accepting new patients
Swope Health Services CurrentSince Oct 5, 2020 Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1730786682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 TUSKEGEE AIRMAN AVENUE",
            "address_2": "BLDG 500",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76310",
            "telephone_number": "940-676-1000",
            "fax_number": "940-676-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 TUSKEGEE AIRMAN AVENUE",
            "address_2": "BLDG 500",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76310",
            "telephone_number": "940-676-1000",
            "fax_number": "940-676-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DONNICA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2020023346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2020023346",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "53-79656-062",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1730786682",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.