Active NPI
Heather Inkman Kinder
- Adult Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1720563539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP137812
- Practice address
- 16619 Vicarage CT
Dallas, TX 75248-2227 - Phone
- (917) 592-0474
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP137812 | TX | Primary |
Addresses
Primary practice location
16619 Vicarage CT
Dallas, TX 75248-2227
Mailing address
16619 Vicarage CT
Dallas, TX 75248-2227
Phone (917) 592-0474
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kopec Functional Wellness, LLC | Adult Health | Current | Accepting new patients |
| Heal 360 Primary Care PLLC | Current | Accepting new patients | |
| Heal 360 Urgent Care, LLC | Current | Accepting new patients |
Locations
1360 Star Ct
Ste T1
Plano, TX 75074
Phone (972) 200-7402
4013 14th St
Ste 401
Plano, TX 75074
Phone (469) 814-9523
2806 W FM 544
Wylie, TX 75098
Organizations & group practices 3
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.
-
- General Practice Physician
- Wylie, TX
- NPI 1588022800
-
- Family Medicine Physician
- Wylie, TX
- NPI 1295165967
-
- Adult Health Nurse Practitioner
- Plano, TX
- NPI 1912704578
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": "1538006400000",
"number": "1720563539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16619 VICARAGE CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752482227",
"telephone_number": "917-592-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16619 VICARAGE CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752482227",
"telephone_number": "917-592-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDER",
"first_name": "HEATHER",
"middle_name": "INKMAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP137812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.