Individual provider Active NPI

Kayce Rene Street, WHNP-BC

  • Women's Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1407501935
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1051208 Issued in TX
Practice address
3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633
Phone
(817) 416-2229
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1051208 TX Primary

Addresses

Primary practice location

3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633

Mailing address

9113 Golden Hollow LN
Fort Worth, TX 76179-2154
Phone (817) 718-7202

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
I20220405002041 TX Practitioner - Nurse Practitioner 9133515893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Macarthur Medical Center PLLCGroup PAC ID 8426102625, 26 clinicians
Women'S Integrated Healthcare, P.a.Group PAC ID 9234174111, 4 clinicians

Practice addresses (Care Compare)

3025 N Tarrant Pkwy
Suite 150
Fort Worth, TX 76177-8633
Phone (972) 256-3700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macarthur Medical Center, PLLC Women'S Health CurrentSince Jan 1, 2025 Accepting new patients
Macarthur Medical Center, PLLC Women'S Health CurrentSince Jan 1, 2025 Accepting new patients
Women'S Integrated Healthcare, P.a. Women'S Health CurrentSince Apr 1, 2022 Accepting new patients

Locations

3025 N Tarrant Pkwy
Ste 150
Fort Worth, TX 76177
Phone (817) 416-2229

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

245 W State Highway 114
Ste 330
Southlake, TX 76092
Phone (817) 416-2229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1407501935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 GOLDEN HOLLOW LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761792154",
            "telephone_number": "817-718-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 150",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778633",
            "telephone_number": "817-416-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "KAYCE",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1051208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.