Nicole Fawn Dupre, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M1663 Issued in TX

Practice address

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100

Phone

(361) 985-5811

NPI assigned

Jul 17, 2006

Last updated

Apr 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conner Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1013415934
  Medicare reassignment NPD
• Bayside Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Alice, TX
  • NPI 1720013964
  NPD (past)
• Bayside Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1902831241
  NPD (past)
• Bayside Emergency Pyhsicians, LLP

  • Emergency Medicine Physician
  • Beeville, TX
  • NPI 1174558324
  NPD (past)
• Coastal ER IX, LLC

  dba Physicians PremiER

  • Emergency Care Clinic/Center
  • Cibolo, TX
  • NPI 1124669262
  NPD (past)
• TLC Corpus Emergency Care LLC

  dba TLC Complete Care

  • Emergency Care Clinic/Center
  • Corpus Christi, TX
  • NPI 1720483829
  NPD (past)
• Valley Children's Medical Group

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1437555265
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1215954755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14493 SPID DR STE A",
            "address_2": "#380",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185939",
            "telephone_number": "361-445-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144100",
            "telephone_number": "361-985-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "NICOLE",
        "middle_name": "FAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "34812",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "22275",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M1663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176537202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176537201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dulin, OTR
• Tiffany Catrine Dunnells, LPC
• Nancy Dunseth, PHARMD
• Lillian Ydan Duong
• Thao Ngoc Thanh Duong
• Junius Etienne Dural Jr.
• Kayla Elaine Dural, PT
• Jeannette Nicole Duran, REGISTERED NURSE
• Jose M Duran, M.D.
• Randi Lee Duran

• Emergency Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.