Individual provider Active NPI

Kendarius S Talton, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1114492048
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN1042832 Issued in DC
Practice address
221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone
(214) 960-5681
Fax
(214) 960-5681
NPI assigned
Oct 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1049487 TX
Acute Care Nurse Practitioner 363LA2100X 13684 WI
Acute Care Nurse Practitioner 363LA2100X 1049487 TX
Gerontology Nurse Practitioner 363LG0600X 13684 WI
Gerontology Nurse Practitioner 363LG0600X 1049487 TX
Acute Care Nurse Practitioner 363LA2100X RN1042832 DC Primary

Addresses

Primary practice location

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312

Mailing address

107 Linda Dr
Monroe, LA 71203-6709
Phone (318) 547-3510

Other practice location 1

900 23rd St NW
Washington, DC 20037-2342
Phone (202) 415-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, OH, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220204001947 FL Practitioner - Nurse Practitioner 1153669072 Reassigns benefits to 1 organization
I20220901001895 TX Practitioner - Nurse Practitioner 1153669072 Reassigns benefits to 4 organizations
I20230308002252 OH Practitioner - Nurse Practitioner 1153669072 Reassigns benefits to 1 organization
I20230412002166 WI Practitioner - Nurse Practitioner 1153669072

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
Dallas Pulmonary and Critical Care PAGroup PAC ID 2163679200, 186 clinicians

Practice addresses (Care Compare)

221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175

Hospital & facility affiliations

  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1049487TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Intensivists, PLLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Allen Intensivist Group LLC CurrentSince Jan 17, 2023 Accepting new patients
Jefferson Intensivist Group PA Nurse Practitioner CurrentSince Sep 5, 2022 Accepting new patients
Southeast Texas Intensivists, PLLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Dallas Pulmonary & Critical Care PA Acute Care CurrentSince Jun 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1114492048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 LINDA DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036709",
            "telephone_number": "318-547-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082312",
            "telephone_number": "214-960-5681",
            "fax_number": "214-960-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 23rd St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372342",
            "country_code": "US",
            "telephone_number": "202-415-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALTON",
        "first_name": "KENDARIUS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1049487",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "13684",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1049487",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "13684",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1049487",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DC",
            "license": "RN1042832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.