Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin Nicole Mathew, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1336641703

Kaitlin Nicole Mathew, AGACNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with High Baldy PLLC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone: (214) 960-5681
Fax: (214) 960-5681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1441 N Beckley Ave, Dallas, TX 75203-1201 — (214) 947-1818

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP136814 (TX)

Record details

NPI number1336641703
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice High Baldy Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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