Active NPI
Vivian Nowazek, PHD, MSN, RN, FNP-BC
- Family Nurse Practitioner
- Conroe, TX
National Provider Identifier
1013376425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP106516
- Practice address
- 690 S Loop 336 W
Ste 200
Conroe, TX 77304-3320 - Phone
- (936) 525-3600
- Fax
- (936) 525-3624
- NPI assigned
- Feb 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Clinical Nurse Specialist | 364SC0200X | AP106516 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP106516 | TX | Primary |
Addresses
Primary practice location
690 S Loop 336 W
Ste 200
Conroe, TX 77304-3320
Mailing address
690 S Loop 336 W
Ste 200
Conroe, TX 77304-3320
Phone (936) 525-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Practice Clinic of Manvel | Past | Accepting new patients | |
| Sam Houston State University | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Huntsville, TX
- NPI 1215519368
-
- Case Manager/Care Coordinator
- Manvel, TX
- NPI 1962644278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1013376425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W",
"address_2": "STE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773043320",
"telephone_number": "936-525-3600",
"fax_number": "936-525-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W",
"address_2": "STE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773043320",
"telephone_number": "936-525-3600",
"fax_number": "936-525-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAZEK",
"first_name": "VIVIAN",
"credential": "PHD, MSN, RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-12",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SC0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Critical Care Medicine",
"state": "TX",
"license": "AP106516",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP106516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.