Individual provider Active NPI

Nicole Allen, FNP

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1467273995
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1177850 Issued in TX
Practice address
22999 Hwy 59 N Ste 204
Kingwood, TX 77339-4439
Phone
(281) 312-6313
Fax
(281) 312-6314
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1177850 TX Primary

Addresses

Primary practice location

22999 Hwy 59 N Ste 204
Kingwood, TX 77339-4439

Mailing address

22999 Hwy 59 N Ste 204
Kingwood, TX 77339-4439
Phone (281) 312-6313

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
I20241219004341 TX Practitioner - Nurse Practitioner 2961939541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramakrishna V Chava MD PAGroup PAC ID 5496728982, 5 clinicians

Practice addresses (Care Compare)

22999 Hwy 59 N
Suite 204
Kingwood, TX 77339-4439
Phone (281) 312-6313

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ramakrishna V Chava MD PA CurrentSince Dec 1, 2024 Accepting new patients

Locations

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

22999 Highway 59 N
Ste 204
Kingwood, TX 77339
Phone (281) 312-6313

23450 Pine Shadows Ln
Porter, TX 77365
Phone (281) 354-2155

Interoperability endpoints

  • Direct secure messaging: nicole.allen.1@19704.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1467273995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HWY 59 N STE 204",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394439",
            "telephone_number": "281-312-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HWY 59 N STE 204",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394439",
            "telephone_number": "281-312-6313",
            "fax_number": "281-312-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1177850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.