Active NPI
Kaylah Bruner
- Social Worker
- Dallas, TX
National Provider Identifier
1144013764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 114092
- Practice address
- 8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322 - Phone
- (940) 721-4366
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 114092 | TX | Primary |
Addresses
Primary practice location
8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322
Mailing address
401 Stockard St
Lake Dallas, TX 75065-2669
Phone (469) 503-9669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114092 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1144013764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 STOCKARD ST",
"city": "LAKE DALLAS",
"state": "TX",
"postal_code": "750652669",
"telephone_number": "469-503-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 LYNDON B JOHNSON FWY STE 900",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511322",
"telephone_number": "940-721-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNER",
"first_name": "KAYLAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "114092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.