Evelina L Kissentaner

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

1601 E Lamar Blvd Ste 105
Arlington, TX 76011-4465

Phone

(936) 221-1099

Fax

(682) 321-7112

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• TCF Lab Service LLC

  • Clinical Medical Laboratory
  • Fort Worth, TX
  • NPI 1891547790
  NPD Authorized official

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1447774542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E LAMAR BLVD STE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114465",
            "telephone_number": "817-400-8839",
            "fax_number": "682-321-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E LAMAR BLVD STE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114465",
            "telephone_number": "936-221-1099",
            "fax_number": "682-321-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSENTANER",
        "first_name": "EVELINA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Pauline Kirkpatrick
• Katy Kirkpatrick
• Kirsi Nlemela-Waller
• Beth Kirundu
• Jasmine Kirven
• Allison Megan Kitchens, ACNP
• Abigail Kitzmiller
• Amber L Klassen, PT
• Karen Klatte, M.D.
• Klean Team 1031 LLC

• Clinical Medical Laboratory in Arlington, TX
• Providers in Arlington, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.