Active NPI
Nicole B Houle, ARNP
- Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9245323
- Practice address
- 7341 Gladiolus Dr
Fort Myers, FL 33908-5101 - Phone
- (239) 489-3420
- Fax
- (239) 489-3419
- NPI assigned
- Sep 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9245323 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9245323 | FL | Primary |
Addresses
Primary practice location
7341 Gladiolus Dr
Fort Myers, FL 33908-5101
Mailing address
2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342
Other names 1
- Nicole B Heitzner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9245323 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients |
Locations
8991 Brighton Ln
Bonita Springs, FL 34135
Phone (239) 593-3030
1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202
2160 Colonial Blvd
Fort Myers, FL 33907
8931 Colonial Center Dr
Ste 100
Fort Myers, FL 33905
Phone (239) 226-2727
7341 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 489-3219
1120 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 369-6295
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
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- NPI 1427426113
-
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
- Urology Physician
- Venice, FL
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1326398488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071410",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7341 GLADIOLUS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085101",
"telephone_number": "239-489-3420",
"fax_number": "239-489-3419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOULE",
"first_name": "NICOLE",
"middle_name": "B",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9245323",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9245323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "HEITZNER",
"middle_name": "B",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.