Kamaldeen Isiaka, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1088172 Issued in TX

Practice address

1701 W Northwest Hwy Ste 240
Grapevine, TX 76051-8107

Phone

(214) 385-2808

Fax

(214) 382-0881

NPI assigned

Jun 6, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlas Visiting Providers LLCGroup PAC ID 9931445335, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Decatur, TX, CCN 457786
• Advanced Home Health Services Home health agency, Irving, TX, CCN 679671

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Atlas Visiting Providers LLC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1174092092
  Medicare reassignment Care Compare group NPD Authorized official
• Axis Hospice LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1053253500
  NPD Authorized official

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

• Advanced HH, LLC

  • Home Health Agency
  • Irving, TX
  • NPI 1053352351
  Care Compare affiliation
• E Medical Group of North Texas, Inc.

  • Home Health Agency
  • Decatur, TX
  • NPI 1700864121
  Care Compare affiliation

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1750794822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W NORTHWEST HWY STE 240",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518107",
            "telephone_number": "713-884-0208",
            "fax_number": "214-382-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W NORTHWEST HWY STE 240",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518107",
            "telephone_number": "214-385-2808",
            "fax_number": "214-382-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIAKA",
        "first_name": "KAMALDEEN",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1088172",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inpatient Group of Grapevine MD PA
• Integrated Healthcare Providers LLC
• Internal Medicine Clinic of Grapevine, PA
• Intimatematters,PLLC
• Conor David Irwin, MD
• J & F Healthy Lifestyle LLC
• J & J Homely Hospice and Palliative Care LLC
• Lauren Elizabeth Jackson, RD
• Lisa Ann Jacob, DPT
• Vikas C. Jain, M.D.

• Family Nurse Practitioner in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.