Individual provider Active NPI

Nikki Kanoelani Palitz

  • Psychiatric/Mental Health Nurse Practitioner
  • Friendswood, TX
National Provider Identifier
1558158204
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1195729 Issued in TX
Practice address
2341 Shallow Creek LN
Friendswood, TX 77546-1507
Phone
(808) 203-9855
Fax
(808) 203-9855
NPI assigned
Apr 24, 2025
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1195729 TX Primary

Addresses

Primary practice location

2341 Shallow Creek LN
Friendswood, TX 77546-1507

Mailing address

2341 Shallow Creek LN
Friendswood, TX 77546-1507
Phone (808) 203-9855

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7877 Willow Chase Blvd
Houston, TX 77070-5934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1195729TXMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1558158204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 SHALLOW CREEK LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775461507",
            "telephone_number": "808-203-9855",
            "fax_number": "808-203-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 SHALLOW CREEK LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775461507",
            "telephone_number": "808-203-9855",
            "fax_number": "808-203-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALITZ",
        "first_name": "NIKKI",
        "middle_name": "KANOELANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1195729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.