Active NPI
Derrick Micah Love-Jones, NP
- Primary Care Nurse Practitioner
- Dallas, TX
National Provider Identifier
1952728636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 786037
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 786037 | TX | MD | Primary 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.