Kallie Ford

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1110016 Issued in TX

Practice address

2235 S Goliad St Ste 110
Rockwall, TX 75032-4903

Phone

(469) 495-9142

NPI assigned

Feb 3, 2023

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

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kford2595307@direct.texashealth.org

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.

• Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Arlington, TX
  • NPI 1952915365

  Family

  Medicare reassignment Care Compare group NPD
• Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1104431527
  NPD
• Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Allen, TX
  • NPI 1629724315
  NPD
• Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • McKinney, TX
  • NPI 1972118388
  NPD

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1093411779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 FOUNTAIN HEAD DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750236316",
            "telephone_number": "972-900-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 S GOLIAD ST STE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750324903",
            "telephone_number": "469-495-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KALLIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1110016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kford2595307@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HEI)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2235 S Goliad St Ste 110",
            "city": "Rockwall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750324903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Folkes Brothers, LLC
• Gabriella N Fontes, DDS
• Lindsey L Foote, MD
• Jean Forbis, OTR, CHT
• Erika Ford, FNP
• Keiara Ford
• Katrina Foster
• Johnathan L. Fowler, PH.D.
• Kathryn Dawn Fowler
• Susan Fragale, MA, LPC

• Family Nurse Practitioner in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.