Individual provider Active NPI

Tanya Nicole McKenley-Dennis

  • Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1598338444
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F07210874 Issued in TX
Practice address
701 S Nedderman Dr
Arlington, TX 76019-9800
Phone
(817) 272-2929
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F07210874 TX Primary

Addresses

Primary practice location

701 S Nedderman Dr
Arlington, TX 76019-9800

Mailing address

2601 Shady Grove LN
McKinney, TX 75071-2714
Phone (972) 352-0732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 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
I20220919002401 TX Practitioner - Nurse Practitioner 8628453255 Reassigns benefits to 1 organization
I20231208000123 CO Practitioner - Nurse Practitioner 8628453255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, shared by 7 NPIs, 102 clinicians

Practice addresses (Care Compare)

11317 N Central Expy
Suite 100
Dallas, TX 75243-6703
Phone (972) 408-2777

8775 E Orchard Rd
Suite 815
Greenwood Village, CO 80111-5010
Phone (720) 828-8382

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07210874TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC Nurse Practitioner Current Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients

Locations

8655 E Montview Blvd
Ste 120
Denver, CO 80238
Phone (720) 794-8237

1523 NE Pine Island Rd
Ste 120
Cape Coral, FL 33909
Phone (239) 236-2695

2160 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 387-3092

16431 Corporate Commerce Way
Ste 106
Fort Myers, FL 33913
Phone (239) 722-5022

2824 University Pkwy
Sarasota, FL 34243
Phone (941) 477-2836

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

1650 W Rosedale St
Ste 220
Fort Worth, TX 76104
Phone (682) 312-4038

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

4709 W Parker Rd
Ste 500
Plano, TX 75093
Phone (469) 974-0565

7560 Glenview Dr
Ste 110
Richland Hills, TX 76180
Phone (817) 284-2700

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

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, 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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1598338444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SHADY GROVE LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712714",
            "telephone_number": "972-352-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S NEDDERMAN DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760199800",
            "telephone_number": "817-272-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENLEY-DENNIS",
        "first_name": "TANYA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F07210874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.