Individual provider Active NPI

Nicole Chantal Splenser, PA-C

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1497085484
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06125 Issued in TX
Practice address
5711 Almeda Rd
Houston, TX 77004-7303
Phone
(713) 520-8385
Fax
(713) 520-5029
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06125 TX Primary

Addresses

Primary practice location

5711 Almeda Rd
Houston, TX 77004-7303

Mailing address

5711 Almeda Rd
Houston, TX 77004-7303
Phone (713) 520-8385

Other identifiers 1

IdentifierTypeStateIssuer
PA06125OtherTXPHYSICIAN ASSISTANT PERMIT

Other names 1

  • Miss Nicole Chantal O'Neal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1497085484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 ALMEDA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047303",
            "telephone_number": "713-520-8385",
            "fax_number": "713-520-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 ALMEDA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047303",
            "telephone_number": "713-520-8385",
            "fax_number": "713-520-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLENSER",
        "first_name": "NICOLE",
        "middle_name": "CHANTAL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT PERMIT",
            "identifier": "PA06125",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "O'NEAL",
            "middle_name": "CHANTAL",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.