Individual provider Active NPI

Karla Ivette Calderon Estrada, ACNP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1720786171
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1110865 Issued in TX
Practice address
2710 Swiss Ave
Dallas, TX 75204-5900
Phone
(214) 821-1599
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1110865 TX Primary

Addresses

Primary practice location

2710 Swiss Ave
Dallas, TX 75204-5900

Mailing address

2710 Swiss Ave
Dallas, TX 75204-5900

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
I20230403000454 TX Practitioner - Nurse Practitioner 7719352897 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

6202 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (469) 488-7000

Hospital & facility affiliations

  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1110865TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Surgery Associates, P.a. CurrentSince Mar 1, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 11, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
North Texas Critical Care PA CurrentSince Mar 1, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 11, 2024 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

6202 Harry Hines Blvd
Dallas, TX 75390
Phone (214) 590-2218

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 5

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1720786171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045900",
            "telephone_number": "214-821-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON ESTRADA",
        "first_name": "KARLA",
        "middle_name": "IVETTE",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1110865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.