Active NPI
Kendra Timmons
- Prosthetics Case Management
- Arlington, TX
National Provider Identifier
1316316839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 225525
- Practice address
- 4101 S Cooper St Ste 115
Suite #20
Arlington, TX 76015-4142 - Phone
- (817) 779-1107
- NPI assigned
- Sep 15, 2015
- Last updated
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 225525 | TX | Primary |
Addresses
Primary practice location
4101 S Cooper St Ste 115
Suite #20
Arlington, TX 76015-4142
Mailing address
5720 Burton Ave
Fort Worth, TX 76119-1755
Phone (817) 779-1107
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225525 | TX | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1316316839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 BURTON AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761191755",
"telephone_number": "817-779-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 S COOPER ST STE 115",
"address_2": "SUITE #20",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760154142",
"telephone_number": "817-779-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "KENDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": "225525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.