Chanda Kaur, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1009459 Issued in TX

Practice address

3521 Burts Dr
Fort Worth, TX 76244-7600

Phone

(817) 565-4708

NPI assigned

Mar 27, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1912584632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 BURTS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447600",
            "telephone_number": "817-565-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 BURTS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447600",
            "telephone_number": "817-565-4708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Medical Pkwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752347839",
            "country_code": "US",
            "telephone_number": "972-910-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "CHANDA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1009459",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1009459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lee Katzen, D.O.
• Kevin Dean Katzen, D.O.
• Jacob Daniel Katzer
• Kendall Jordan Kaufman
• Robert Alan Kaufmann, M.D.
• Harinderjit Kaur
• Harjot Kaur, PA-C
• Kavneet Kaur, MD
• Pardeep Kaur
• Rupinder Kaur

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, 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 May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.