Active NPI
Kashaelyn Lanieca Hollins-Henderson, FNP-C
- Family Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137971
- Practice address
- 3900 N Tarrant Pkwy Ste 104
Fort Worth, TX 76244-5410 - Phone
- (682) 333-1804
- Fax
- (682) 223-1346
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- 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 | AP137971 | TX | Primary |
Addresses
Primary practice location
3900 N Tarrant Pkwy Ste 104
Fort Worth, TX 76244-5410
Mailing address
705 Camelia CT
Desoto, TX 75115-1521
Phone (214) 280-0266
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
Practice addresses (Care Compare)
1795 N Hwy 77
Suite 104
Waxahachie, TX 75165-7886
Phone (214) 764-3943
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centric Family Clinic LLC | Family | Current | Accepting new patients |
| Odette Louise Campbell MD PA | Current | Accepting new patients | |
| J Olivieri Professional Health Network LLC | Current | Accepting new patients | |
| Hephzibah Visiting Clinicians | Family | Current | Accepting new patients |
| LTH Family Medicine | Family | Current | Accepting new patients |
| Waxahachie Chiropractic | Current | Accepting new patients | |
| Complete Health Services LLC | Past | Accepting new patients |
Locations
610 Uptown Blvd
Ste 2000
Cedar Hill, TX 75104
Phone (972) 290-9134
3910 Gaston Ave
Ste 140
Dallas, TX 75246
Phone (214) 381-1910
111 Executive Way
Ste 102
Desoto, TX 75115
Phone (469) 585-8129
1312 14th St
Ste 101
Plano, TX 75074
Phone (214) 210-2911
5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900
1795 N Highway 77
Ste 104
Waxahachie, TX 75165
Phone (214) 764-3943
Interoperability endpoints
- kashaelyn.hollinshenderson@lfm-tx1.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Family Nurse Practitioner
- Desoto, TX
- NPI 1801486543
-
- Family Nurse Practitioner
- Desoto, TX
- NPI 1083101075
-
- Internal Medicine Physician
- Mesquite, TX
- NPI 1821386905
-
- Family Medicine Physician
- Plano, TX
- NPI 1366750325
-
- Family Nurse Practitioner
- Mesquite, TX
- NPI 1689491276
-
- Chiropractor
- Waxahachie, TX
- NPI 1255881728
-
- Home Health Agency
- Desoto, TX
- NPI 1265194633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1912493230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 CAMELIA CT",
"city": "DESOTO",
"state": "TX",
"postal_code": "751151521",
"telephone_number": "214-280-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 N TARRANT PKWY STE 104",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445410",
"telephone_number": "682-333-1804",
"fax_number": "682-223-1346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINS-HENDERSON",
"first_name": "KASHAELYN",
"middle_name": "LANIECA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.