DERRICK MICAH LOVE-JONES (NPI# 1952728636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952728636 |
Entity Type | Individual |
Full Name | DERRICK MICAH LOVE-JONES |
Other Name | DERRICK MICAH JONES |
Credential | NP |
Practice Address |
1705 Martin Luther King Jr Blvd Suite C Dallas TX 75215-3222 |
Practice Telephone | 2144255935 |
Practice Fax Number | 9729190425 |
Mailing Telephone | 2144255935 |
Mailing Fax Number | 9729190425 |
Enumeration Date | 2014-03-19 |
Last Update Date | 2016-03-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
786037 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1705 MARTIN LUTHER KING JR BLVD SUITE C |
City | DALLAS |
State | TX |
Zip Code | 75215-3222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427405364 | North Texas Neighborhood Medical Clinic, Pllc | Nurse Practitioner | 1705 Martin Luther King Jr Blvd, Ste C, Dallas, TX 75215-3222 | 2016-05-20 |
1558748459 | Kidney House Pllc | Nurse Practitioner | 1705 Martin Luther King Jr Blvd, Suite C, Dallas, TX 75215-3222 | 2015-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184245201 | Ursula Liliana Barrreto | Behavior Technician | 1999 Scott St, Suite 900, Dallas, TX 75215 | 2020-04-29 |
1811546278 | Nereca Carol Jones | Technician | 5011 Colonial Avenue, Dallas, TX 75215 | 2019-09-09 |
1356826838 | Sa Foundation for Humanity Inc | Dentist | 1100 S. Arkard Street, Suite 180, Dallas, TX 75215 | 2018-10-01 |
1043710049 | Lawanda Shed | Registered Nurse | 2622 Hatcher St, Dallas, TX 75215 | 2018-02-15 |
1598205973 | Royond Patrick-hendrix | Psychologist | 1409 S Lamar St Apt 307, Dallas, TX 75215 | 2017-03-03 |
1760830566 | Medchiro Injury Rehab LLC | Chiropractor | 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 | 2016-06-02 |
1245580315 | Irfan Jadavji | Family Medicine | 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 | 2012-09-14 |
1982904165 | Malcolm X Pediatric Clinic | Clinic/Center | 4432 Malcolm X Blvd., Dallas, TX 75215 | 2010-10-22 |
1750693669 | Lyric Dion Day | Registered Nurse | 2922 Martin Luther King Jr Blvd #124, Dallas, TX 75215 | 2010-07-08 |
1477759272 | Shang's Garden, Inc | Assisted Living Facility | 2617 Birmingham, Dallas, TX 75215 | 2007-06-27 |
Find all providers in zip 75215 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063969459 | Nrs, Inc | Nurse Practitioner | 1705 Martin Luther King Jr Blvd Ste C, Dallas, TX 75215-3223 | 2016-09-02 |
1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
1932719606 | Jenny Garner Tharp | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-08-06 |
1386272466 | Asha Y Dwumfour-poku | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-04-01 |
1689211963 | Callie Lauren Harris | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2019-12-05 |
1891332656 | Sharonda Ransom | Nurse Practitioner | 1411 N Beckley Ave Ste 352, Dallas, TX 75203-1270 | 2019-11-28 |
1740824473 | Sandra Carranza | Nurse Practitioner | 7777 Forest Ln Ste C650, Dallas, TX 75230-6867 | 2019-11-06 |
1700348836 | Kathryn Nicole Aubuchon | Nurse Practitioner | 3417 Gaston Ave Ste 1100, Dallas, TX 75246-2037 | 2019-04-06 |
1437610334 | Victorian Healthcare | Nurse Practitioner | 2602 Martin Luther King Jr Blvd, Dallas, TX 75215-2309 | 2019-03-25 |
1851859250 | Jenna Levesque Boivin | Nurse Practitioner | 7777 Forest Ln Ste C840, Dallas, TX 75230-2594 | 2019-03-05 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.