Individual provider Active NPI

Kavya Vanchipurakal, FNP-BC, BSN, RN

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1659748499
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1053765 Issued in TX
Practice address
4708 Alliance Blvd Ste 550
Plano, TX 75093-5363
Phone
(469) 800-6580
Fax
(469) 800-6590
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 704999 NY
Registered Nurse 163W00000X 1053765 TX
Family Nurse Practitioner 363LF0000X 345824 NY
Family Nurse Practitioner 363LF0000X 1053765 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd Ste 550
Plano, TX 75093-5363

Mailing address

2140 Medical District Dr Apt 3102
Dallas, TX 75235-8278
Phone (845) 536-4809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
704999NYMDRegistered Nurse
1053765TXMDRegistered Nurse
345824NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1659748499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MEDICAL DISTRICT DR APT 3102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358278",
            "telephone_number": "845-536-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 550",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935363",
            "telephone_number": "469-800-6580",
            "fax_number": "469-800-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCHIPURAKAL",
        "first_name": "KAVYA",
        "credential": "FNP-BC, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "704999",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1053765",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345824",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1053765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.