Individual provider Active NPI

Desiree Marie Jones, PA

  • Physician Assistant
  • Arlington, TX
National Provider Identifier
1740058304
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17787 Issued in TX
Practice address
1008 N Bowen Rd
Arlington, TX 76012-2838
Phone
(817) 861-2288
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17787 TX Primary

Addresses

Primary practice location

1008 N Bowen Rd
Arlington, TX 76012-2838

Mailing address

1008 N Bowen Rd
Arlington, TX 76012-2838
Phone (817) 861-2288

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17787TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry Nussbaum, M.D., P.a. CurrentSince Oct 5, 2025 Accepting new patients
Topcare Medical Group Inc PastSince Dec 1, 2023 Accepting new patients
Physicians for Children PastSince Dec 1, 2023 Accepting new patients

Locations

1008 N Bowen Rd
Arlington, TX 76012
Phone (817) 861-2288

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1740058304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122838",
            "telephone_number": "817-861-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122838",
            "telephone_number": "817-861-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DESIREE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.