Active NPI
Nicole Cholakian Khan, CPNP-AC
- Pediatric Nurse Practitioner
- Houston, TX
National Provider Identifier
1255833414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP136833
- Practice address
- 7600 Beechnut St
Houston, TX 77074-4302 - Phone
- (770) 845-0513
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP136833 | TX | Primary |
Addresses
Primary practice location
7600 Beechnut St
Houston, TX 77074-4302
Mailing address
4011 Villanova St
Houston, TX 77005-3643
Other names 1
- Nicole Renee Cholakian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136833 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1255833414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 VILLANOVA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770053643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 BEECHNUT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770744302",
"telephone_number": "770-845-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "NICOLE",
"middle_name": "CHOLAKIAN",
"credential": "CPNP-AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP136833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "CHOLAKIAN",
"middle_name": "RENEE",
"credential": "CPNP-AC",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 15, 2024; 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.