Active NPI
Kyle Lyndon Boatman, NP
- Family Nurse Practitioner
- Flower Mound, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137823
- Practice address
- 4001 Long Prairie Rd Ste 160
Flower Mound, TX 75028-1528 - Phone
- (972) 355-1505
- NPI assigned
- Jul 16, 2018
- Last updated
- May 10, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP137823 | TX | Primary |
Addresses
Primary practice location
4001 Long Prairie Rd Ste 160
Flower Mound, TX 75028-1528
Mailing address
4001 Long Prairie Rd Ste 160
Flower Mound, TX 75028-1528
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4001 Long Prairie Rd
Suite 160
Flower Mound, TX 75028-1528
Phone (972) 355-1505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Family Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
12606 Greenville Ave
Ste 200
Dallas, TX 75243
Phone (214) 660-2020
9330 Amberton Pkwy
Ste 1244
Dallas, TX 75243
Phone (214) 200-2551
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
Interoperability endpoints
- kboatman1663104@direct.texashealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
Family Medicine
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
-
dba Medical City Lewisville
- General Acute Care Hospital
- Lewisville, TX
- NPI 1255384533
-
dba Texas Health Presbyterian Hospital Flower Mound
- General Acute Care Hospital
- Flower Mound, TX
- NPI 1902047376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1912483660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 LONG PRAIRIE RD STE 160",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 LONG PRAIRIE RD STE 160",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281528",
"telephone_number": "972-355-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATMAN",
"first_name": "KYLE",
"middle_name": "LYNDON",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-16",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
- Blue Star Pain Management LLC
- Blue Star Radiology Associates
- Blue Stone JV LLP (Touchstone Imaging Flower Mound)
- Blue Stone JV LLP (TMI Flower Mound)
- Blue Stone JV, LLP (TMI Flower Mound)
- Bob Ochulo (Best Clinical Lab)
- Christopher Boban
- Bobby Chu, M.D., P.a.
- Bobby L. Fisher Chiropractic, P.a.
- Body and Sport DFW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.