Individual provider Active NPI

Sukhdeep Kaur

  • Family Nurse Practitioner
  • Copper Canyon, TX
National Provider Identifier
1710783097
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1191142 Issued in TX
Practice address
545 Jernigan Rd
Copper Canyon, TX 75077-8596
Phone
(469) 735-9462
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1191142 TX Primary

Addresses

Primary practice location

545 Jernigan Rd
Copper Canyon, TX 75077-8596

Mailing address

545 Jernigan Rd
Copper Canyon, TX 75077-8596
Phone (469) 735-9462

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250310002543 TX Practitioner - Nurse Practitioner 1254852072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians

Practice addresses (Care Compare)

1105 Rock Prairie Rd
College Sta, TX 77845-8344
Phone (337) 991-9276

5917 Sherry LN
Dallas, TX 75225-6542
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1191142TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services TX PLLC Family CurrentSince Mar 18, 2025 Accepting new patients
Curana Health Medical Group LLC CurrentSince Mar 18, 2025 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

5917 Sherry Ln
Dallas, TX 75225
Phone (214) 614-2696

1245 W 18th St
Houston, TX 77008
Phone (346) 230-4498

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 1

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": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1710783097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 JERNIGAN RD",
            "city": "COPPER CANYON",
            "state": "TX",
            "postal_code": "750778596",
            "telephone_number": "469-735-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 JERNIGAN RD",
            "city": "COPPER CANYON",
            "state": "TX",
            "postal_code": "750778596",
            "telephone_number": "469-735-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SUKHDEEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-03-10",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1191142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copper Canyon, TX

Sources for this page

Verify at the official NPI Registry.