Organization Active NPI

Kinder Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Garland, TX
National Provider Identifier
1164088043
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
KINDER ANESTHESIA PLLC
Practice address
530 Clara Barton Blvd Ste 100
Garland, TX 75042-5759
Phone
(325) 675-6466
Fax
(325) 692-6030
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2026

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

Authorized official

Name
Poppy Walker, MBA
Title
Practice Administrator
Phone
(325) 675-6466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

530 Clara Barton Blvd Ste 100
Garland, TX 75042-5759

Mailing address

3301 S 14TH St Ste 16180
Abilene, TX 79605-5015
Phone (325) 675-6466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190722002615 TX Part B Supplier - Clinic/Group Practice 9032445564 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX; McKinney, TX

National Provider Directory

National Provider Directory

Locations

3301 S 14th St
Ste 16180
Abilene, TX 79605

1600 Coit Rd
#401A
Plano, TX 75075
Phone (972) 566-6800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778976000000",
    "number": "1164088043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S 14TH ST STE 16180",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796055015",
            "telephone_number": "325-675-6466",
            "fax_number": "325-692-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CLARA BARTON BLVD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425759",
            "telephone_number": "325-675-6466",
            "fax_number": "325-692-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "POPPY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "325-675-6466",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.