Active NPI
Kayla Meyer, APRN- CNP
- Pediatric Nurse Practitioner
- Red Oak, TX
National Provider Identifier
1275121980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1016649
- Practice address
- 273 E Ovilla Rd Ste 4
Red Oak, TX 75154-2605 - Phone
- (972) 617-6660
- NPI assigned
- Jan 7, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1016649 | TX | Primary |
Addresses
Primary practice location
273 E Ovilla Rd Ste 4
Red Oak, TX 75154-2605
Mailing address
4030 Gilbert Ave Apt 8
Dallas, TX 75219-3869
Phone (713) 261-6757
Other practice location 1
6105 Windcom Ct Ste 100
Plano, TX 75093-7890
Phone (972) 473-9063
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
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016649 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1275121980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 GILBERT AVE APT 8",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193869",
"telephone_number": "713-261-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 E OVILLA RD STE 4",
"city": "RED OAK",
"state": "TX",
"postal_code": "751542605",
"telephone_number": "972-617-6660"
}
],
"practiceLocations": [
{
"address_1": "6105 Windcom Ct Ste 100",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750937890",
"country_code": "US",
"telephone_number": "972-473-9063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "KAYLA",
"credential": "APRN- CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1016649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.