NICOLE COUVILLON FAWCETT


Address: 6699 Chimney Rock Rd Ste 201, Houston, TX 77081-5339
Phone: 7135331700

NICOLE COUVILLON FAWCETT (NPI# 1649772716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649772716
Entity Type Individual
Full Name NICOLE COUVILLON FAWCETT
Credential AGNP-C
Practice Address 6699 Chimney Rock Rd Ste 201
Houston
TX 77081-5339
Mailing Address Po Box 873
Bellaire
TX 77402-0873
Practice Telephone 7135331700
Practice Fax Number 7135331708
Mailing Telephone 7135331700
Mailing Fax Number 7135331708
Enumeration Date 2018-03-05
Last Update Date 2020-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP136808 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6699 CHIMNEY ROCK RD STE 201
City HOUSTON
State TX
Zip Code 77081-5339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003920760 Michael E. Buxbaum Family Medicine 6699 Chimney Rock Rd Ste 201, Houston, TX 77081-5339 2006-08-19
1215434642 Tiffani Dawn Arriazola Registered Nurse 6699 Chimney Rock Rd Ste 201, Houston, TX 77081-5339 2018-04-11
1023284221 Michael E. Buxbaum, D.o. P.a. Physician Assistant 6699 Chimney Rock Rd Ste 201, Houston, TX 77081-5339 2008-05-07

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NPI Name Taxonomy Address Enumeration
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1023537743 Pro Med Rx Pharmacy 5716 Bellaire Bldv, Ste. J, Houston, TX 77081 2017-09-13
1831627918 Ali Ahmed Abdelkhalek Baiomy Radiology 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 2017-06-01
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1982148854 Greater Houston Psychiatric Associates Psychologist 4888 Loop Central Dr, Ste 510, Houston, TX 77081 2016-12-13
1184075657 Kimble Elisabeth Chentnik Optometrist 6699 Chimney Rock, Suite 201, Houston, TX 77081 2016-06-27
1780042226 Graves Community Health Clinic Clinic/Center 6910 Chetwood Dr. Ste. B, Houston, TX 77081 2016-01-28
1588058432 Mi Rae Kim Nurse Practitioner 5420 Dashwood Dr Ste 100, Houston, TX 77081 2015-03-27
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1841707676 Tammie Rena Bryant Nurse Practitioner 14935 S Richmond Ave Apt 1917, Houston, TX 77082-1598 2018-01-02
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Competitor

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City HOUSTON
Zip Code 77081

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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