Ericia Shante Kinds, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

851312 Issued in TX

Practice address

2025 Valley Falls Ave
Mesquite, TX 75181-2111

Phone

(601) 870-9470

NPI assigned

Sep 19, 2018

Last updated

Nov 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ericia Shante Tyler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Admirable Hearts Screenings LLC

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1114793577
  NPD Authorized official

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1184108847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 VALLEY FALLS AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751812111",
            "telephone_number": "214-998-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 VALLEY FALLS AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751812111",
            "telephone_number": "601-870-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDS",
        "first_name": "ERICIA",
        "middle_name": "SHANTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "851312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICIA",
            "last_name": "TYLER",
            "middle_name": "SHANTE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kikkeri International, PA (Advanced Pain Solutions)
• Nagaraj S Kikkeri, M.D.
• Alexandra Killings, PHARMD
• David S Kim, MD
• Yun J Kim, DNP
• Jordan King, CCC-SLP
• Eric Norman Kinn, M.D.
• Kenneth Thompson Kirkpatrick, DDS
• Sharon Denett Kirven, M.D.
• Naveed A Klair, MD

• Registered Nurse in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.