Individual provider Active NPI

Derrick Micah Love-Jones, NP

  • Primary Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1952728636
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
786037 Issued in TX
Practice address
1705 Martin Luther King Jr Blvd
Suite C
Dallas, TX 75215-3222
Phone
(214) 425-5935
Fax
(972) 919-0425
NPI assigned
Mar 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 786037 TX Primary

Addresses

Primary practice location

1705 Martin Luther King Jr Blvd
Suite C
Dallas, TX 75215-3222

Mailing address

1705 Martin Luther King Jr Blvd
Suite C
Dallas, TX 75215-3222
Phone (214) 425-5935

Other names 1

  • Derrick Micah Jones Professional name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
786037TXMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1952728636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752153222",
            "telephone_number": "214-425-5935",
            "fax_number": "972-919-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752153222",
            "telephone_number": "214-425-5935",
            "fax_number": "972-919-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE-JONES",
        "first_name": "DERRICK",
        "middle_name": "MICAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "786037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DERRICK",
            "last_name": "JONES",
            "middle_name": "MICAH",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.