Individual provider Active NPI

Nicole Alexandra McCameron, RNFA

  • Registered Nurse First Assistant
  • Richardson, TX
National Provider Identifier
1205372737
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
751174 Issued in TX
Practice address
1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400
Phone
(972) 567-9937
NPI assigned
Jan 8, 2017
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 751174 TX Primary

Addresses

Primary practice location

1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400

Mailing address

1637 Jeffrey Dr
Wylie, TX 75098-8940
Phone (972) 567-9937

Other names 1

  • Nicole Alexandra Dubovsky Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
751174TXMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1205372737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 JEFFREY DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988940",
            "telephone_number": "972-567-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E ARAPAHO RD STE 122",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812400",
            "telephone_number": "972-567-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAMERON",
        "first_name": "NICOLE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-08",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "751174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DUBOVSKY",
            "middle_name": "ALEXANDRA",
            "credential": "RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.