Individual provider Active NPI

Lisa C Taylor-Kennedy, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1942489323
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J2989 Issued in TX
Practice address
14902 Preston Rd Ste 404-745
Dallas, TX 75254-9191
Phone
(214) 443-1240
Fax
(214) 443-1240
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J2989 TX Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X J2989 TX

Addresses

Primary practice location

14902 Preston Rd Ste 404-745
Dallas, TX 75254-9191

Mailing address

14902 Preston Rd Ste 404-745
Dallas, TX 75254-9191
Phone (214) 443-1240

Other identifiers 4

IdentifierTypeStateIssuer
0427247-04MedicaidTX
1699786210OtherTXNPI
8AM081OtherTXBCBS
0427247-05MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000744 TX Practitioner - Anesthesiology 3173512175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas a & M University System, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3920 Worth St
Dallas, TX 75034-4069
Phone (214) 820-2581

4510 Medical Ctr Dr
Suite 150
McKinney, TX 75069-0144
Phone (972) 547-1580

5601 Warren Pkwy
Dallas, TX 75034-4069
Phone (214) 407-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J2989TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Taylor-Kennedy MD, PA Anesthesiology CurrentSince Apr 25, 2015 Accepting new patients
Vertex Anesthesia, PLLC Anesthesiology CurrentSince Aug 18, 2020 Accepting new patients
Phoenix Anesthesia and Pain Management Group, PLLC Anesthesiology PastSince Nov 15, 2007 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 100
Addison, TX 75001
Phone (469) 718-5260

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

14902 Preston Rd
Ste 404
Dallas, TX 75254
Phone (516) 699-2589

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4708 Alliance Blvd
Ste 210
Plano, TX 75093
Phone (469) 800-6021

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1942489323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14902 PRESTON RD STE 404-745",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549191",
            "telephone_number": "214-443-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14902 PRESTON RD STE 404-745",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549191",
            "telephone_number": "214-443-1240",
            "fax_number": "214-443-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-KENNEDY",
        "first_name": "LISA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J2989",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J2989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427247-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699786210",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AM081",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427247-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.