Jenna Donlon

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1016498 Issued in TX

Practice address

3201 Western Center Blvd Ste 125
Fort Worth, TX 76137-7135

Phone

(817) 652-3395

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tots and Tykes Pediatrics PA

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1841207727
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1770182636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OAKLAND PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031550",
            "telephone_number": "817-652-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WESTERN CENTER BLVD STE 125",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761377135",
            "telephone_number": "817-652-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLON",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1016498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Manus Donahue, MD
• Samone Donald, LPC
• Kathleen A Donaldson, CNM
• Jennifer Donato, M.S., LBS, BCBA, LBA
• Jyotsna Donepudi, MD
• Donna Denise Rangel
• Donna L Forns
• Tana Raelizabeth Donnell, PHARM D.
• Paula Donnelly, M.ED., LPC
• Daniel E Donohue, DDS

• Pediatric Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.