Individual provider Active NPI

Kaitleen Hoang, FNP-C

  • Family Nurse Practitioner
  • Corinth, TX
National Provider Identifier
1043643778
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
787703 Issued in TX
Practice address
3901 FM 2181 Ste 120
Corinth, TX 76210-4250
Phone
(940) 600-5199
NPI assigned
Aug 16, 2013
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 787703 TX Primary

Addresses

Primary practice location

3901 FM 2181 Ste 120
Corinth, TX 76210-4250

Mailing address

3465 W Walnut St Ste 225
Garland, TX 75042-7140
Phone (972) 272-7816

Other practice location 1

801 W Park Row Dr
Arlington, TX 76013-3904
Phone (817) 623-6300

Other practice location 2

2402 E Arkansas LN # 246
Arlington, TX 76014
Phone (817) 459-1585

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
I20131230000430 TX Practitioner - Nurse Practitioner 9537396270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lonestar Famicare ClinicGroup PAC ID 4385919810, 3 clinicians

Practice addresses (Care Compare)

801 W Park Row Dr
Arlington, TX 76013-3904
Phone (817) 623-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince May 1, 2022 Accepting new patients
Equest Care Clinic LLC Family Current Accepting new patients
Your Wellness Clinics PastSince Aug 28, 2021 Accepting new patients

Locations

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

Interoperability endpoints

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

Organizations & group practices 4

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1043643778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 W WALNUT ST STE 225",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427140",
            "telephone_number": "972-272-7816",
            "fax_number": "972-276-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 FM 2181 STE 120",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762104250",
            "telephone_number": "940-600-5199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Park Row Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760133904",
            "country_code": "US",
            "telephone_number": "817-623-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2402 E ARKANSAS LN # 246",
            "address_purpose": "LOCATION",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "country_code": "US",
            "telephone_number": "817-459-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "KAITLEEN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "787703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, TX

Sources for this page

Verify at the official NPI Registry.