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

Tanya Kidandi

Individual provider Adult Health Nurse Practitioner · NPI 1104294875

Tanya Kidandi is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2015, 11 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas and Wisconsin.

Years since qualifying
11
Licensed in
TX, WI
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1325 Pennsylvania Ave Ste 560
Fort Worth, TX 76104-2152
Phone: (817) 250-7240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 — (414) 649-6000

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 1030527 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 6586-33 (WI)

Record details

NPI number1104294875
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2015
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address2900 W Oklahoma Ave, Milwaukee, WI 53215-4330

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Worth