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

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