Individual provider Active NPI

Colleen Nicole Hunter-Gaudreau, NP-C

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1073963153
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131193 Issued in TX
Practice address
16040 Park Valley Dr Ste 111
Round Rock, TX 78681-3596
Phone
(512) 248-2200
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131193 TX Primary

Addresses

Primary practice location

16040 Park Valley Dr Ste 111
Round Rock, TX 78681-3596

Mailing address

1105 Rowley Dr
Cedar Park, TX 78613-1629
Phone (512) 219-0853

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
Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1073963153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 ROWLEY DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131629",
            "telephone_number": "512-219-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 PARK VALLEY DR STE 111",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813596",
            "telephone_number": "512-248-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER-GAUDREAU",
        "first_name": "COLLEEN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.