Active NPI
Kala Robin Dehaan-Hill, WHCNP, RN
- Women's Health Nurse Practitioner
- Plano, TX
National Provider Identifier
1962696690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP116101
- Practice address
- 2301 Ohio Drive #136
Plano, TX 75093 - Phone
- (469) 458-0296
- Fax
- (214) 291-2503
- NPI assigned
- Sep 6, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 688454 | TX | |
| Women's Health Clinical Nurse Specialist | 364SW0102X | 688454 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | AP116101 | TX | Primary |
Addresses
Primary practice location
2301 Ohio Drive #136
Plano, TX 75093
Mailing address
2301 Ohio Drive #136
Plano, TX 75093
Phone (469) 458-0296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688454 | TX | MD | Nurse Practitioner |
| AP116101 | TX | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1962696690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 OHIO DRIVE #136",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "469-458-0296",
"fax_number": "214-291-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 OHIO DRIVE #136",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "469-458-0296",
"fax_number": "214-291-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHAAN-HILL",
"first_name": "KALA",
"middle_name": "ROBIN",
"name_prefix": "Mrs.",
"credential": "WHCNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "688454",
"primary": false
},
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "TX",
"license": "688454",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "AP116101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.