Individual provider Active NPI

Kati Jo Kaushal, DNP

  • Family Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1619452455
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055555 Issued in TX
Practice address
1720 FM 544 Ste 100
Lewisville, TX 75056-4592
Phone
(651) 216-6491
NPI assigned
Sep 27, 2018
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6215 MN
Family Nurse Practitioner 363LF0000X 2015174 MN
Family Nurse Practitioner 363LF0000X 1055555 TX Primary

Addresses

Primary practice location

1720 FM 544 Ste 100
Lewisville, TX 75056-4592

Mailing address

3013 Althea St
McKinney, TX 75071-4254
Phone (651) 216-6491

Other practice location 1

4545 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 442-6871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 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
I20190319002109 MN Practitioner - Nurse Practitioner 2567702111 Reassigns benefits to 1 organization
I20230617000176 TX Practitioner - Nurse Practitioner 2567702111 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015174MNMDFamily Nurse Practitioner
6215MNMDFamily Nurse Practitioner
1055555TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
RRR Hyperbarics 4, LLC CurrentSince Dec 26, 2023 Accepting new patients
RRR Hyperbarics 1 CurrentSince May 15, 2023 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Oct 18, 2021 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Oct 18, 2021 Accepting new patients

Locations

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

7230 Crawford Rd
Argyle, TX 76226
Phone (682) 683-2300

4150 N Collins St
Arlington, TX 76005
Phone (817) 337-6604

3101 Churchill Dr
Ste 100
Flower Mound, TX 75022
Phone (682) 253-1637

4545 Heritage Trace Pkwy
Ste 1500
Fort Worth, TX 76244
Phone (817) 337-6604

1720 FM 544
Ste 100
Lewisville, TX 75056
Phone (817) 337-6604

9151 Boulevard 26
Ste 150B
North Richlnd Hls, TX 76180
Phone (682) 683-2300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1619452455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 ALTHEA ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714254",
            "telephone_number": "651-216-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 FM 544 STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564592",
            "telephone_number": "651-216-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Heritage Trace Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76244",
            "country_code": "US",
            "telephone_number": "817-442-6871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUSHAL",
        "first_name": "KATI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6215",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2015174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.