MEDICARE: JOAN KAMINAR AGACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1018936	TX
2	363LA2100X	Acute Care Nurse Practitioner	1018936	TX

General Provider Information

NPI Number	:	1740881648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN KAMINAR AGACNP-BC

Provider Business Mailing Address
First Line	:	411 BRADDOCK DR
Second Line	:
City	:	FAIRVIEW
State	:	TX
Zip	:	75069-0150
Country	:	US
Telephone Number	:	214-801-4442
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 N BECKLEY AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1201
Country	:	US
Telephone Number	:	214-947-8181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2020
Last Update Date	:	02/24/2026

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