Jacquelynn Antoinette Longshaw, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K2061 Issued in TX

Practice address

2828 Duke of Gloucester St
Suite 106
Desoto, TX 75115-2067

Phone

(972) 298-3888

Fax

(972) 296-0838

NPI assigned

Mar 29, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlongshaw18335@direct.childrens.com

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.

• Dallas Physician Medical Services for Children Inc

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1194153650
  Medicare reassignment NPD
• Dallas Physician Medical Services for Children Inc

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1558407908
  NPD
• Complex Care Medical Services Corporation

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1013256098
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962463984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 WINDY MEADOW DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157551",
            "telephone_number": "972-230-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 DUKE OF GLOUCESTER ST",
            "address_2": "SUITE 106",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152067",
            "telephone_number": "972-298-3888",
            "fax_number": "972-296-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSHAW",
        "first_name": "JACQUELYNN",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K2061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa a. King M.D,P.a.
• Gene Edward Little Jr.
• Clyde Lamar Logan III, DC
• Paula London-Scott, B.S.,M.S.,CTRS
• Krystel Leann Long, PMHNP
• Love & Passion Home Health Agency, Inc
• Love Family Enterprises, LLC
• Love N Therapy
• William Cornelius Love, DC
• Loving Caring Cozy Haven Inc

• Pediatrics Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.