Individual provider Active NPI

Tangy Nicole Kincaid Thomas, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1609013929
Registry record updated Mar 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP117858 Issued in TX
Practice address
1411 N Beckley Ave
Dallas, TX 75203-1259
Phone
(214) 948-7700
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 777455 TX
Certified Registered Nurse Anesthetist 367500000X AP117858 TX Primary

Addresses

Primary practice location

1411 N Beckley Ave
Dallas, TX 75203-1259

Mailing address

144 Maverick LN
Forney, TX 75126-0625
Phone (469) 750-4025

Other identifiers 5

IdentifierTypeStateIssuer
8KP516OtherTXBCBS
P02210578OtherTXMEDICARE RAIL ROAD
777455OtherTXBCBS
202731002MedicaidTX
202731008MedicaidTX

Other names 1

  • Tangy Nicole Kincaid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000581 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648320010 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afterglow Anesthesia PLLCGroup PAC ID 8022543370, 64 clinicians
Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians

Practice addresses (Care Compare)

3136 Horizon Rd
Suite 100
Rockwall, TX 75032-7808
Phone (972) 475-8914

3300 Oak Lawn Ave
Suite 200
Dallas, TX 75219-4265
Phone (214) 252-3501

8350 Dallas Pkwy
Suite 100
Frisco, TX 75034-5076
Phone (469) 287-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
777455TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Novamed Surgery Center of Tyler, LP Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2019 Accepting new patients
Zenfusions LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 4, 2023 Accepting new patients
Independent Physicians Network PLLC CurrentSince Oct 1, 2018 Accepting new patients
Quitman Hospital LLC CurrentSince Jan 15, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Quitman Hospital LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Mother Frances Hospital Jacksonville Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2019 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2017 Accepting new patients
Quitman Hospital LLC CurrentSince Jan 15, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2017 Accepting new patients
Trident Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2017 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince May 1, 2009 Accepting new patients
Novamed Surgery Center of Tyler, LP Past Accepting new patients
Phalarope Inpatient Services, a Medical Corporation Past Accepting new patients
Petrel Emergency Physicians, a Medical Corporation PastSince Sep 28, 2015 Accepting new patients
Asf Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
East Texas Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

861204 Reliable Pkwy
Chicago, IL 60686

400 10th St E
Waconia, MN 55387

800 W Arbrook Blvd
Ste 120
Arlington, TX 76015
Phone (817) 468-4343

3920 W Wheatland Rd
Ste 108
Dallas, TX 75237
Phone (214) 948-7779

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505

7201 Wyoming Springs Dr
Ste 100
Round Rock, TX 78681
Phone (817) 727-0985

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

802 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 595-4333

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1609013929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MAVERICK LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751260625",
            "telephone_number": "469-750-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-948-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID THOMAS",
        "first_name": "TANGY",
        "middle_name": "NICOLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "777455",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP117858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8KP516",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P02210578",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "777455",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202731002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202731008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANGY",
            "last_name": "KINCAID",
            "middle_name": "NICOLE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 29, 2026; 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.

Verify at the official NPI Registry.