Individual provider Active NPI

Maninder Kaur

  • Primary Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1134634678
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP135418 Issued in TX
Practice address
201 W Randol Mill Rd
Arlington, TX 76011-5857
Phone
(817) 987-1805
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP135418 TX
Primary Care Nurse Practitioner 363LP2300X AP135418 TX Primary

Addresses

Primary practice location

201 W Randol Mill Rd
Arlington, TX 76011-5857

Mailing address

756 E Lake Dr
Coppell, TX 75019-7906
Phone (972) 807-3600

Other practice location 1

500 N Valley Pkwy
Lewisville, TX 75067-3552
Phone (972) 420-8777

Other practice location 2

756 E Lake Dr
Coppell, TX 75019-7906
Phone (972) 807-3600

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
I20210909000026 TX Practitioner - Nurse Practitioner 6103222609

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Organizations & group practices 1

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1134634678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 E LAKE DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197906",
            "telephone_number": "972-807-3600",
            "fax_number": "972-807-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115857",
            "telephone_number": "817-987-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Valley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673552",
            "country_code": "US",
            "telephone_number": "972-420-8777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "756 E Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750197906",
            "country_code": "US",
            "telephone_number": "972-807-3600",
            "fax_number": "972-807-3608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANINDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP135418",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP135418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.