Individual provider Active NPI

Nicole Rangel Gutierrez, AGACNP

  • Acute Care Nurse Practitioner
  • Katy, TX
National Provider Identifier
1255999686
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP141982 Issued in TX
Practice address
23960 Katy Fwy Ste 380
Katy, TX 77494-0893
Phone
(281) 500-6366
Fax
(281) 500-6363
NPI assigned
May 31, 2019
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP141982 TX Primary
Gerontology Nurse Practitioner 363LG0600X AP141982 TX
Neuroscience Registered Nurse 163WN0800X 733041 TX

Addresses

Primary practice location

23960 Katy Fwy Ste 380
Katy, TX 77494-0893

Mailing address

23960 Katy Fwy Ste 380
Katy, TX 77494-0893
Phone (281) 500-6366

Other practice location 1

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5000

Other practice location 2

22999 Highway 59 N Ste 210
Kingwood, TX 77339-4441
Phone (281) 312-6457

Other practice location 3

22999 Highway 59 N Ste 220
Kingwood, TX 77339-4440
Phone (281) 312-6457

Other practice location 4

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5000

Other identifiers 2

IdentifierTypeStateIssuer
AP141982OtherTXNURSING STATE LICENSE
733041OtherTXSTATE REGISTERED NURSE LICENSE

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
I20191015002839 TX Practitioner - Nurse Practitioner 1254662679 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
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Suite 330
Sugar Land, TX 77479-2648
Phone (281) 238-3770

18955 N Memorial Dr
Suite 360
Humble, TX 77338-4396
Phone (281) 319-8530

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-8111

27700 Hwy 290
Suite 360
Cypress, TX 77433-8028
Phone (346) 231-6830

27700 NW Fwy
Suite 360
Cypress, TX 77433-8028
Phone (346) 231-6830

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
733041TXMDNeuroscience Registered Nurse
AP141982TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Neighborhood Health Centers, PLLC Current Accepting new patients
MHS Physicians of Texas CurrentSince Feb 1, 2023 Accepting new patients
MHS Physicians of Texas CurrentSince Feb 1, 2023 Accepting new patients

Locations

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731

6400 Fannin St
Ste 2800
Houston, TX 77030
Phone (713) 704-7100

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

23960 Katy Fwy
Ste 380
Katy, TX 77494
Phone (281) 500-6366

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770

Interoperability endpoints

  • Direct secure messaging: ngutierrez66613@memorialhermann.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1255999686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23960 KATY FWY STE 380",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940893",
            "telephone_number": "281-500-6366",
            "fax_number": "281-500-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23960 KATY FWY STE 380",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940893",
            "telephone_number": "281-500-6366",
            "fax_number": "281-500-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Beechnut St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770744302",
            "country_code": "US",
            "telephone_number": "713-456-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22999 Highway 59 N Ste 210",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773394441",
            "country_code": "US",
            "telephone_number": "281-312-6457",
            "fax_number": "281-312-5128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22999 Highway 59 N Ste 220",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773394440",
            "country_code": "US",
            "telephone_number": "281-312-6457",
            "fax_number": "281-312-5128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 Beechnut St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770744302",
            "country_code": "US",
            "telephone_number": "713-456-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "NICOLE",
        "middle_name": "RANGEL",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP141982",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP141982",
            "primary": false
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "TX",
            "license": "733041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING STATE LICENSE",
            "identifier": "AP141982",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTERED NURSE LICENSE",
            "identifier": "733041",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.