Active NPI
Kaylee Waller, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 742739
- Practice address
- 14850 Quorum Dr Ste 400
Dallas, TX 75254-1445 - Phone
- (469) 437-3564
- Fax
- (469) 825-6903
- NPI assigned
- Jan 2, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 100315 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 742739 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 742739 | TX | Primary |
Addresses
Primary practice location
14850 Quorum Dr Ste 400
Dallas, TX 75254-1445
Mailing address
14850 Quorum Dr Ste 400
Dallas, TX 75254-1445
Phone (469) 437-3564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
1545 E Southlake Blvd
Suite 100
Southlake, TX 76092-6465
Phone (817) 442-9300
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
Hospital & facility affiliations
- Baylor Scott and White All Saints Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 742739 | NC | MD | Certified Registered Nurse Anesthetist |
| 100315 | TX | MD | Certified Registered Nurse Anesthetist |
| 742739 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eagle Anesthesia PLLC | Current | Accepting new patients | |
| Valiant Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Spine Team Texas, PA | Current | Accepting new patients | |
| Spine Team Texas PA | Current | Accepting new patients | |
| Cook Children'S Physician Network | Current | Accepting new patients | |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Interventional Pain Management, P.L.L.C | Current | Accepting new patients | |
| Carolina Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Synergy Anesthesia Management | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Carolina Regional Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Spine Team Texas, PA | Current | Accepting new patients | |
| Premier Interventional Pain Management, P.L.L.C | Current | Accepting new patients | |
| Bladen Healthcare LLC | Past | Accepting new patients | |
| Red River Anesthesiology Group L.L.P. | Past | Accepting new patients |
Locations (25 of 35)
2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544
1141 N Road St
#1
Elizabeth City, NC 27909
Phone (252) 338-0101
3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033
801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400
920 S Belt Line Rd
Ste 250
Coppell, TX 75019
Phone (469) 307-5111
14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
7992 W Virginia Dr
Dallas, TX 75237
Phone (214) 283-2400
461 Westpark Way
Euless, TX 76040
Phone (817) 540-1755
7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000
2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225
8350 Dallas Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 213-8310
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600
5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
809 W Harwood Rd
Ste 101
Hurst, TX 76054
Phone (817) 283-5252
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133
6020 W Parker Rd
Ste 300
Plano, TX 75093
Phone (469) 200-6461
4005 W 15th St
Plano, TX 75093
Phone (214) 250-3531
Organizations & group practices 20
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.
-
- Neurological Surgery Physician
- Southlake, TX
- NPI 1629082995
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1891151478
-
- Anesthesiology Physician
- Addison, TX
- NPI 1225514276
-
- Anesthesiology Physician
- McAllen, TX
- NPI 1346570355
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1780251595
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1588906812
-
- Anesthesiology Physician
- Statesville, NC
- NPI 1699723791
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1356762728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14850 QUORUM DR STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752541445",
"telephone_number": "469-437-3564",
"fax_number": "469-825-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14850 QUORUM DR STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752541445",
"telephone_number": "469-437-3564",
"fax_number": "469-825-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "KAYLEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "100315",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "742739",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "742739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.