Individual provider Active NPI

Kashmir Kaur, NP

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1790713535
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
685267 Issued in TX
Practice address
1645 N Town East Blvd
Suite 503
Mesquite, TX 75150-4158
Phone
(972) 620-9111
Fax
(972) 620-9187
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 685267 TX Primary

Addresses

Primary practice location

1645 N Town East Blvd
Suite 503
Mesquite, TX 75150-4158

Mailing address

LBJ Freeway
Dallas, TX 75243
Phone (972) 739-3097

Other identifiers 2

IdentifierTypeStateIssuer
173788401MedicaidTX
173788402MedicaidTX

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
I20050627001474 TX Practitioner - Nurse Practitioner 0840235040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

731 E Southlake Blvd
Suite 100
Southlake, TX 76092-6378
Phone (817) 424-3366

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
685267TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Jun 28, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 28, 2024 Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Jan 15, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 28, 2024 Accepting new patients
Texas Health Urgent Care CurrentSince Jun 28, 2021 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Shawnee Trail Emergency Physicians Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Locations

4135 Belt Line Rd
Ste 124
Addison, TX 75001
Phone (469) 495-9126

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

6411 E Northwest Hwy
Ste 120
Dallas, TX 75231
Phone (469) 495-9110

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700

Interoperability endpoints

  • Direct secure messaging: kkaur1114208@direct.sw.org

Organizations & group practices 11

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1790713535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LBJ FREEWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "972-739-3097",
            "fax_number": "972-739-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 N TOWN EAST BLVD",
            "address_2": "SUITE 503",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504158",
            "telephone_number": "972-620-9111",
            "fax_number": "972-620-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "KASHMIR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "685267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173788401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173788402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.