Nicole Marie Anderson, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1070729 Issued in TX

Practice address

1823 E 7TH St
Austin, TX 78702-2713

Phone

(512) 795-4142

Fax

(512) 623-7536

NPI assigned

Jun 17, 2019

Last updated

Jan 6, 2023By 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 names 1

• Nicole Marie Martinez Former name

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.anderson.1@19859.direct.athenahealth.com

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.

• Pikes Peak Nephrology Associates PC

  • Nephrology Physician
  • Colorado Springs, CO
  • NPI 1407833767
  NPD
• Pikes Peak Nephrology Associates PC

  • Nephrology Physician
  • Pueblo, CO
  • NPI 1447851738
  NPD
• Planned Parenthood of Greater Texas

  dba Planned Parenthood

  • Ambulatory Family Planning Facility
  • Austin, TX
  • NPI 1528147204
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1356901821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 E 7TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022713",
            "telephone_number": "512-795-4142",
            "fax_number": "512-623-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 E 7TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022713",
            "telephone_number": "512-795-4142",
            "fax_number": "512-623-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2057 Compton Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928817295",
            "country_code": "US",
            "telephone_number": "951-736-6757",
            "fax_number": "951-736-0167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Diamond Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304495",
            "country_code": "US",
            "telephone_number": "951-687-7140",
            "fax_number": "951-303-3565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1914 Lelaray St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809092800",
            "country_code": "US",
            "telephone_number": "719-632-7641",
            "fax_number": "719-632-2925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0994709-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014738",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1070729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MARTINEZ",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Allen Anderson, MD
• Merry Fiske Anderson, MA, LPC
• Milton H Anderson III, M.D.
• Monica Anderson, D.D.S.
• Nicole Elizabeth Anderson, FNP-C
• Rhonda L. Anderson, M.D.
• Ryan Anderson, D.C.
• Sandra Kay Anderson, APRN, BC
• Shanda Anderson, M.ED, LPC
• Sharon Anderson

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.