P Praxis·MD
● Active Type 1 · Individual

Tanya Kidandi

Nurse Practitioner·Fort Worth, TX· NPI 1104294875 · Enumerated 2015 · 10 years on NPI
Kidandi is 1 of 97 nurse practitioner providers in Fort Worth and 1 of 987 in Texas.
NPI age
10 years
Enumerated 2015-09-10
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 987 active nurse practitioner providers in Texas.

NPI age
10 years
↑ 5 yr above median (5 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES
2015 2026

Where they practice

Practice location
1325 Pennsylvania Ave Ste 560
Fort Worth, TX 761042152
📞 8172507240
Mailing address
2900 W Oklahoma Ave
Milwaukee, WI 532154330

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2900 W Oklahoma Ave
Milwaukee, WI 532154330
📞 4146496000

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #1030527 taxonomy 363LP2300X
  • Nurse Practitioner
    Definition to come...
    WI license #6586-33 taxonomy 363LA2200X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Fort Worth in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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