Kelly Jean Kaldenbach, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

891 Eureka St
Weatherford, TX 76086-5807

Phone

(817) 341-7600

Fax

(817) 341-7351

NPI assigned

Aug 19, 2006

Last updated

Jan 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: kelly.kaldenbach.1@17729.direct.athenahealth.com

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.

• Dallas Medical Specialists, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1508217811
  Medicare reassignment
• Star Family Medicine PLLC

  • Family Medicine Physician
  • Weatherford, TX
  • NPI 1275027385
  Medicare reassignment

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1679687206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 EUREKA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865807",
            "telephone_number": "817-341-7600",
            "fax_number": "817-341-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 EUREKA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865807",
            "telephone_number": "817-341-7600",
            "fax_number": "817-341-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALDENBACH",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200945803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danica A Jordan, D.O.
• Joseph Bakowski Optometrist PLLC
• Joseph Mack Gould (Joseph Mack Gould Ms DPM)
• JSL Counseling Services Inc.
• Julee Tae DDS PLLC
• Jessica Tracy Karol, LVN
• Bridget Karr, MS CCC-SLP
• Kathryn Laine Karsten, RN
• Kari Kassel, REGISTERED NURSE
• Amy Kristin Kearby, LVN

• Physician Assistant in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.