Individual provider Active NPI

Kaleena Denise Pickett, PA-C

  • Physician Assistant
  • Double Oak, TX
National Provider Identifier
1023860723
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17616 Issued in TX
Practice address
8501 FM 407
Double Oak, TX 75077-3031
Phone
(972) 966-1980
Fax
(972) 691-4937
NPI assigned
Apr 4, 2024
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17616 TX Primary

Addresses

Primary practice location

8501 FM 407
Double Oak, TX 75077-3031

Mailing address

8501 FM 407
Double Oak, TX 75077-3031
Phone (972) 966-1980

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111002721 TX Order and Referring Only - Physician Assistant 4385135060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA17616TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Emergency Physicians, PA CurrentSince Aug 1, 2026 Accepting new patients
Rapid Med Argyle PA CurrentSince Aug 1, 2026 Accepting new patients

Locations

391 Highway 377 S
Argyle, TX 76226
Phone (940) 784-7301

8501 Justin Rd
Lewisville, TX 75077
Phone (940) 784-7045

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGIAAA/Endpoint/CGIAAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1023860723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 FM 407",
            "city": "DOUBLE OAK",
            "state": "TX",
            "postal_code": "750773031",
            "telephone_number": "972-966-1980",
            "fax_number": "972-691-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 FM 407",
            "city": "DOUBLE OAK",
            "state": "TX",
            "postal_code": "750773031",
            "telephone_number": "972-966-1980",
            "fax_number": "972-691-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "KALEENA",
        "middle_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Double Oak, TX

Sources for this page

Verify at the official NPI Registry.