Individual provider Active NPI

Kiyah Herlong Eugene, CRNP

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1316407554
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1191905 Issued in TX
Practice address
3500 Victory Group Way Ste 300
Frisco, TX 75034-9567
Phone
(972) 381-9300
NPI assigned
Mar 22, 2019
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1191905 TX Primary
Registered Nurse 163W00000X 1-158305 AL

Addresses

Primary practice location

3500 Victory Group Way Ste 300
Frisco, TX 75034-9567

Mailing address

12377 Merit Dr Ste 300
Dallas, TX 75251-3126
Phone (972) 957-3000

Other practice location 1

8112 Spring Valley Rd
Dallas, TX 75240-3829
Phone (214) 884-1705

Other names 1

  • Deannjanae Nukiyah Herlong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210216000196 AL Practitioner - Nurse Practitioner 2769897255 Reassigns benefits to 3 organizations
I20260611002063 TX Practitioner - Nurse Practitioner 2769897255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12377 Merit Dr
Suite 300
Dallas, TX 75251-3281

4810 B Spicewood Springs Rd
Austin, TX 78759-7838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-158305ALMDRegistered Nurse
1191905TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince Sep 13, 2021 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Nov 20, 2020 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Nov 20, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
American Family Care, LLC CurrentSince Sep 13, 2021 Accepting new patients
Southern Wellness LLC PastSince Oct 27, 2024 Accepting new patients
Hi-Energy Weight Loss Centers of Texas, Inc. Family Medicine Past Accepting new patients

Locations

975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1652 Montclair Rd
Irondale, AL 35210
Phone (205) 236-8623

25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106

5892 Trussville Crossings Pkwy
Trussville, AL 35235
Phone (205) 228-0080

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1316407554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513126",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VICTORY GROUP WAY STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349567",
            "telephone_number": "972-381-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8112 Spring Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752403829",
            "country_code": "US",
            "telephone_number": "214-884-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUGENE",
        "first_name": "KIYAH",
        "middle_name": "HERLONG",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1191905",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-158305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNJANAE",
            "last_name": "HERLONG",
            "middle_name": "NUKIYAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.