Nicole Caldwell, BSN, RN
Individual provider Active NPI Registered Nurse · Kaufman, TX
NPI 1104668805 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1104668805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 939370 (TX)
- Practice address
- 800 Adams LN
Kaufman, TX 75142-2245 - Phone
- (800) 504-5360
- Fax
- (844) 251-4889
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 939370 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 939370 | TX | Yes |
Addresses
Primary practice location
800 Adams LN
Kaufman, TX 75142-2245
Mailing address
1390 Market St Ste 200
San Francisco, CA 94102-5404
Phone (813) 445-3296
Other providers in Kaufman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.