Active NPI
Nicole Marie Shutko, D.C.
- Rehabilitation Chiropractor
- Houston, TX
National Provider Identifier
1083804355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 8742
- Practice address
- 3910 Kirby Dr
Ste 212
Houston, TX 77098-4120 - Phone
- (713) 522-2886
- Fax
- (713) 522-2738
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 8742 | TX | Primary |
Addresses
Primary practice location
3910 Kirby Dr
Ste 212
Houston, TX 77098-4120
Mailing address
3910 Kirby Dr
Ste 212
Houston, TX 77098-4120
Phone (713) 522-2886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AK973 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2040 N Loop W
Suite 103a
Houston, TX 77018-8157
Phone (713) 522-2886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pe Health Choice Rehabilitation Center PA | Rehabilitation | Current | Accepting new patients |
| City Center Chiropractic | Past | Accepting new patients |
Locations
2040 North Loop W
Ste 103A
Houston, TX 77018
Phone (713) 522-2886
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.
-
- Rehabilitation Chiropractor
- Houston, TX
- NPI 1356156608
-
- Chiropractor
- Houston, TX
- NPI 1215248919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1083804355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 KIRBY DR",
"address_2": "STE 212",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984120",
"telephone_number": "713-522-2886",
"fax_number": "713-522-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 KIRBY DR",
"address_2": "STE 212",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984120",
"telephone_number": "713-522-2886",
"fax_number": "713-522-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUTKO",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "8742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AK973",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.