Individual provider Active NPI

Tawana Parker, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1104314327
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137335 Issued in TX
Practice address
2900 McKinnon St Apt 502
Dallas, TX 75201-1064
Phone
(773) 593-9039
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 AP137335 TX Primary

Addresses

Primary practice location

2900 McKinnon St Apt 502
Dallas, TX 75201-1064

Mailing address

1717 McKinney Ave
Dallas, TX 75202-1237
Phone (972) 415-7989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, SC, AZ, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190211000439 TX Practitioner - Nurse Practitioner 1658619051 Reassigns benefits to 2 organizations
I20201103002836 OH Practitioner - Nurse Practitioner 1658619051 Reassigns benefits to 1 organization
I20220601002743 SC Practitioner - Nurse Practitioner 1658619051 Reassigns benefits to 1 organization
I20230203002273 AZ Practitioner - Nurse Practitioner 1658619051
I20240822001849 CA Practitioner - Nurse Practitioner 1658619051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kap Geri Dok PLLCGroup PAC ID 5991806713, 2 clinicians

Practice addresses (Care Compare)

3901 Montecito Dr
Denton, TX 76210-5557
Phone (214) 389-0855

Merit-based Incentive Payment System (MIPS)

Final score
94.78 of 100Reported as group
Quality
95
Improvement activities
40
Cost
55.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kmci Service Management, LLC CurrentSince Nov 10, 2019 Accepting new patients
Molina Healthcare of California CurrentSince Aug 7, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Kap Geri Dok PLLC CurrentSince Jan 27, 2022 Accepting new patients
Universal Care CurrentSince Nov 8, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

5440 Harvest Hill Rd
Ste 182B
Dallas, TX 75230
Phone (214) 348-7611

2500 Hinkle Dr
Denton, TX 76201
Phone (940) 383-2651

1801 N Hampton Rd
Ste 333
Desoto, TX 75115
Phone (972) 255-7668

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1104314327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MCKINNEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752021237",
            "telephone_number": "972-415-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MCKINNON ST APT 502",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011064",
            "telephone_number": "773-593-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TAWANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.