Kanna Endo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1059032 Issued in TX

Practice address

1420 W Exchange Pkwy # a-120
Allen, TX 75013-4670

Phone

(972) 521-6210

NPI assigned

Nov 20, 2021

Last updated

Sep 23, 2024By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zeal Health Partners LLCGroup PAC ID 3971030206, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Zeal Health Partners LLC

  • Infectious Disease Physician
  • Plano, TX
  • NPI 1053153486

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Dallas MD Associates LLC

  • Infectious Disease Physician
  • Frisco, TX
  • NPI 1326453242

  Single Specialty

  Medicare reassignment NPD
• Little Lantern Clinic LLC

  dba US Clinics

  • General Practice Physician
  • Carrollton, TX
  • NPI 1114409133

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1477210847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 MIDWAY RD APT 301",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W EXCHANGE PKWY # A-120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134670",
            "telephone_number": "972-521-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11655 Independence Pkwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750354719",
            "country_code": "US",
            "telephone_number": "972-521-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDO",
        "first_name": "KANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1059032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Lynn Ellis, LPC
• Elysium Anesthesia PLLC
• Embellir Aesthetics & Wellness Center PLLC
• Embrace Non-Emergency Medical Transportation LLC
• Pakize Melike Emeksiz
• Endocrinology Clinic of North Texas, P.a.
• Madalyn Taylor Engelking, LPC
• Enhance Dental of Allen (LoveJoy Dentistry)
• Christopher Carlito Enriquez, PA-C, LAT, ATC
• Enso Group, LLC (Better Living Center for Behavioral Health)

• Family Nurse Practitioner in Allen, TX
• Providers in Allen, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.