NPIMap

Individual provider Active NPI

Kathryn Hall, PA-C

  • Physician Assistant
  • Burleson, TX
National Provider Identifier
1710314414
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08680 Issued in TX
Practice address
12500 South Fwy Ste 100
Burleson, TX 76028-7128
Phone
(214) 294-6250
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08680 TX Primary

Addresses

Primary practice location

12500 South Fwy Ste 100
Burleson, TX 76028-7128

Mailing address

113 Chelsey CT
Weatherford, TX 76087-3646
Phone (214) 274-7731

Other practice location 1

2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 204-1000

Other practice location 2

3107 Greene Ave
Fort Worth, TX 76109-2319
Phone (817) 439-9539

Other names 1

  • Kathryn Flanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140227001416 TX Practitioner - Physician Assistant 2769612399 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texacare Urgent Care PLLCGroup PAC ID 0941580120, 6 clinicians

Practice addresses (Care Compare)

3107 Greene Ave
Fort Worth, TX 76109-2319
Phone (817) 439-9539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: khall1254306@direct.sw.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1710314414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHELSEY CT",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760873646",
            "telephone_number": "214-274-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 SOUTH FWY STE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287128",
            "telephone_number": "214-294-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 E President George Bush Hwy",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750823561",
            "country_code": "US",
            "telephone_number": "469-204-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3107 Greene Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761092319",
            "country_code": "US",
            "telephone_number": "817-439-9539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "FLANDERS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.