Individual provider Active NPI

Nicole Gutierrez-Holubz, DNP, FNP-BC

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1215529029
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1017844 Issued in TX
Practice address
1120 E Parker Rd Ste 195
Plano, TX 75074-5374
Phone
(469) 298-1216
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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 1017844 TX Primary

Addresses

Primary practice location

1120 E Parker Rd Ste 195
Plano, TX 75074-5374

Mailing address

1120 E Parker Rd Ste 195
Plano, TX 75074-5374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319000451 TX Practitioner - Nurse Practitioner 8224445200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor at Your Service PLLCGroup PAC ID 1759425143, 7 clinicians

Practice addresses (Care Compare)

4242 Medical Dr
Suite 6250
San Antonio, TX 78229-5705
Phone (210) 479-3297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor at Your Service PLLC CurrentSince Jul 10, 2023 Accepting new patients
Topcare Medical PA PastSince Apr 22, 2014 Accepting new patients

Locations

4242 Medical Dr
Ste 6250
San Antonio, TX 78229
Phone (210) 479-3297

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.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1215529029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E PARKER RD STE 195",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E PARKER RD STE 195",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745374",
            "telephone_number": "469-298-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-HOLUBZ",
        "first_name": "NICOLE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.