Doctor profile · Federal record
Dr. Tanya Kidandi
Primary Care Nurse Practitioner (CMS: Nurse Practitioner) · Adult Health Nurse Practitioner · Fort Worth, TX
- NPI 1104294875
- Accepts Medicare
- 11 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1325 Pennsylvania Ave Ste 560
Fort Worth, TX 761042152
(817) 250-7240 - Additional location
-
2900 W Oklahoma Ave
Milwaukee, WI 532154330
(414) 649-6000 - Mailing address
-
2900 W Oklahoma Ave
Milwaukee, WI 532154330
Credentials & registration
- NPI registered
- September 2015 — 11 yrs on file
- Profile last updated
- October 9, 2024
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363LP2300X — NUCC code
- State licenses (2)
- Texas #1030527 · Wisconsin #6586-33
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104294875. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Melinta Therapeutics, LLC | 1 | $21.93 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Tanya Kidandi's medical specialty?
Dr. Tanya Kidandi practices Primary Care Nurse Practitioner in Fort Worth, TX.
Where does Dr. Tanya Kidandi practice?
Dr. Tanya Kidandi practices at 1325 Pennsylvania Ave Ste 560, Fort Worth, TX 761042152. Office phone: 8172507240.
What is Dr. Tanya Kidandi's NPI?
Dr. Tanya Kidandi's National Provider Identifier (NPI) is 1104294875, issued by NPPES.
Does Dr. Tanya Kidandi accept Medicare assignment?
Yes. Dr. Tanya Kidandi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.