Registry record
- NPI
- 1174041578
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 1650 S Beach St
Fort Worth, TX 76105 - Phone
- 8177021100
- In the registry since
- September 6, 2017
- Last NPPES update
- November 7, 2018
- Sole proprietor
- No
- License
- PA12177 (TX)
At this location
10 other providers in our data list 1650 S Beach St, Fort Worth as a practice address:
- Mrs. Issis S Aleman, FNP
Family Nurse Practitioner · NPI 1154960680
- Sun A Chung, FNP
Family Nurse Practitioner · NPI 1174915805
- Leticia Flournoy Gonzalez, FNP
Family Nurse Practitioner · NPI 1598337172
- Rose M Julian, ANP-C
Family Nurse Practitioner · NPI 1235364530
- Carla Kaloustian, FNP-BC
Family Nurse Practitioner · NPI 1831516137
- Gretchen Mattner, FNP
Family Nurse Practitioner · NPI 1467025858
- Ashley Lynne Schwartz, PA-C
Physician Assistant · NPI 1902090525
- Nadezhda Shvarts, FNP
Nurse Practitioner · NPI 1639748940
- Christina Vogt
Family Nurse Practitioner · NPI 1487223335
- Felicia Denette Williams, NP
Family Nurse Practitioner · NPI 1306387592
In context
The NPI number of Destonee Wilson is 1174041578. They are a Physician Assistant in Fort Worth, Texas.
Destonee Wilson is one of 640 Physician Assistants in Fort Worth and one of 11,405 across Texas in our data. Fort Worth ranks #5 among Texas cities in our dataset, with 2,429 NP and PA providers.
The NPI has been in the federal registry for 8 years, since September 6, 2017.
Frequently asked questions
What is NPI 1174041578?
NPI 1174041578 is the 10-digit National Provider Identifier assigned to Destonee Wilson, a Physician Assistant practicing in Fort Worth, Texas. The record has been in the NPPES registry since September 6, 2017.
How do I verify this provider?
Cross-check NPI 1174041578 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA12177 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as November 7, 2018. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.