Individual provider Active NPI

Diana Kipchilat

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1245704683
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138404 Issued in TX
Practice address
612 E Lamar Blvd Ste 350
Arlington, TX 76011-4157
Phone
(682) 236-5770
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138404 TX Primary

Addresses

Primary practice location

612 E Lamar Blvd Ste 350
Arlington, TX 76011-4157

Mailing address

4055 Valley View LN Ste 400
Dallas, TX 75244-5071

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
I20200108000826 TX Practitioner - Nurse Practitioner 4587099171 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wound Care of Texas LLCGroup PAC ID 0648644138, 9 clinicians
Advance Wound Care and Hyperbaric Specialists of TexasGroup PAC ID 4981865888, 6 clinicians

Practice addresses (Care Compare)

5575 Warren Pkwy
Suite 115
Frisco, TX 75034-4063
Phone (405) 246-0811

7709 San Jacinto PL
Suite 100
Plano, TX 75024-3369
Phone (469) 406-4225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138404TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Odette Louise Campbell MD PA CurrentSince Feb 18, 2020 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 12, 2025 Accepting new patients
Total Wound Care of Texas LLC CurrentSince Jan 6, 2025 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 12, 2025 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Sep 16, 2025 Accepting new patients

Locations

1900 NW Expressway
Ste 800
Oklahoma City, OK 73118
Phone (405) 246-0812

5575 Warren Pkwy
Ste 115
Frisco, TX 75034
Phone (469) 200-6100

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900

12 E Twohig Ave
San Angelo, TX 76903
Phone (325) 340-9899

Organizations & group practices 7

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": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1245704683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E LAMAR BLVD STE 350",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114157",
            "telephone_number": "682-236-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPCHILAT",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.