Individual provider Active NPI

Sylviane Akenda Kasende, ANP

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1205107273
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP120987 Issued in TX
Practice address
10900 Founders Way Ste 101
Fort Worth, TX 76244-5428
Phone
(817) 442-9300
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 739050 TX
Nurse Practitioner 363L00000X AP120987 TX Primary

Addresses

Primary practice location

10900 Founders Way Ste 101
Fort Worth, TX 76244-5428

Mailing address

10900 Founders Way Ste 101
Fort Worth, TX 76244-5428
Phone (817) 442-9300

Other practice location 1

2925 Skyway Circle N
Irving, TX 75038
Phone (972) 675-7313

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stt@116.direct.myezyaccess.com

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
I20130509000223 TX Practitioner - Nurse Practitioner 2062659162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Back CareGroup PAC ID 1951604313, 50 clinicians

Practice addresses (Care Compare)

10900 Founders Way
Suite 101
Fort Worth, TX 76244-4953
Phone (817) 442-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP120987TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Back Care CurrentSince Dec 1, 2020 Accepting new patients
Texas Health Back Care CurrentSince Dec 1, 2020 Accepting new patients
Ingenios Health Co. Past Accepting new patients

Locations

1305 Airport Fwy
Ste 406
Bedford, TX 76021
Phone (817) 318-1414

10900 Founders Way
Ste 101
Fort Worth, TX 76244
Phone (682) 651-1908

1340 S Main St
Ste 100
Grapevine, TX 76051
Phone (682) 651-1908

6957 W Plano Pkwy
Ste 2500
Plano, TX 75093
Phone (214) 483-6933

3509 Spectrum Blvd
#B
Richardson, TX 75082
Phone (972) 772-9600

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1545 E Southlake Blvd
Ste 100
Southlake, TX 76092

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

Interoperability endpoints

  • Direct secure messaging: sylviane.kasende@ppoa.directbygreenway.com

Organizations & group practices 3

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1205107273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 FOUNDERS WAY STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445428",
            "telephone_number": "817-442-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 FOUNDERS WAY STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445428",
            "telephone_number": "817-442-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Skyway Circle N",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "75038",
            "country_code": "US",
            "telephone_number": "972-675-7313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASENDE",
        "first_name": "SYLVIANE",
        "middle_name": "AKENDA",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "739050",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP120987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stt@116.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "10900 Founders Way Ste 101",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762445428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.