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

Kanedra Kiara Roberts

Individual provider Physician Assistant · NPI 1588421705

Kanedra Kiara Roberts is a Physician Assistant in Dallas, Texas. Qualified in 2024, 2 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

3600 Gaston Ave Wadley Tower Ste 1158
Dallas, TX 75246-1800
Phone: (469) 800-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1588421705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESJune 14, 2026
Certification dateJune 14, 2026
Mailing address3600 Gaston Avenue, Wadley Tower, Suite 1158, Dallas, TX 75246

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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