Individual provider Active NPI

Zoe Nicole Collette, AGACNP-BC

  • Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1376950089
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP126270 Issued in TX
Practice address
6565 West Loop S
Ste 525
Bellaire, TX 77401-3519
Phone
(713) 661-7888
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 711817 TX
Nurse Practitioner 363L00000X AP126270 TX Primary

Addresses

Primary practice location

6565 West Loop S
Ste 525
Bellaire, TX 77401-3519

Mailing address

6565 West Loop S
Ste 525
Bellaire, TX 77401-3519
Phone (713) 661-7888

Other identifiers 1

IdentifierTypeStateIssuer
426719701MedicaidTX

Other names 1

  • Zoe Nicole Green Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@CMA.directbygreenway.com

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
I20180918000650 TX Practitioner - Nurse Practitioner 0345591129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Contemporary Medicine Associates, PLLCGroup PAC ID 6002964285, 29 clinicians

Practice addresses (Care Compare)

6565 W Loop S
Suite 525
Bellaire, TX 77401-3519
Phone (713) 677-2475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
711817TXMDCritical Care Medicine Registered Nurse
AP126270TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Medicine Associates, PLLC CurrentSince May 31, 2018 Accepting new patients

Locations

6565 West Loop S
Ste 525
Bellaire, TX 77401
Phone (713) 661-7888

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1376950089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S",
            "address_2": "STE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-661-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S",
            "address_2": "STE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-661-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTE",
        "first_name": "ZOE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "711817",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426719701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@CMA.directbygreenway.com",
            "affiliation": "N",
            "address_1": "6565 WEST LOOP S",
            "address_2": "STE 525",
            "city": "BELLAIRE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774013519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ZOE",
            "last_name": "GREEN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.