Individual provider Active NPI

Kelsey Lauranne Cardinal, CRNP

  • Women's Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1811502156
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1158582 Issued in TX
Practice address
8611 Hillcrest Ave Ste 300
Dallas, TX 75225-4232
Phone
(214) 692-3100
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1158582 TX Primary

Addresses

Primary practice location

8611 Hillcrest Ave Ste 300
Dallas, TX 75225-4232

Mailing address

8611 Hillcrest Ave Ste 300
Dallas, TX 75225-4232
Phone (334) 414-1661

Other practice location 1

6121 N Highway 161 Ste 200
Irving, TX 75038-2270
Phone (469) 647-4700

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
I20250325003356 TX Practitioner - Nurse Practitioner 4981127495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6121 N State Hwy 161
Irving, TX 75038-2265
Phone (469) 647-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1158582TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 5, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 5, 2025 Accepting new patients

Locations

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

8611 Hillcrest Ave
Ste 300
Dallas, TX 75225
Phone (214) 645-8020

6121 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 964-0600

6121 State Highway 161
Irving, TX 75038
Phone (214) 645-1234

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

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.

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1811502156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 HILLCREST AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254232",
            "telephone_number": "334-414-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 HILLCREST AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254232",
            "telephone_number": "214-692-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 N Highway 161 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382270",
            "country_code": "US",
            "telephone_number": "469-647-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDINAL",
        "first_name": "KELSEY",
        "middle_name": "LAURANNE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1158582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.