Individual provider Active NPI

Nicholas Anthony Harrell

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1588083265
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q9369 Issued in TX
Practice address
2606 Hospital Blvd
Corpus Christi, TX 78405-1833
Phone
(210) 616-1467
Fax
(361) 881-1467
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X Q9369 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd
Corpus Christi, TX 78405-1833

Mailing address

2606 Hospital Blvd 3 West
Corpus Christi, TX 78405
Phone (210) 616-1467

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103001661 TX Practitioner - Emergency Medicine 5092096164 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 10, 2018 Accepting new patients
Jackson County Hospital District Emergency Medicine CurrentSince Dec 22, 2016 Accepting new patients
Conner Emergency Medicine Associates, PA Emergency Medicine CurrentSince Feb 15, 2018 Accepting new patients
Jackson County Hospital District CurrentSince Dec 22, 2016 Accepting new patients
Gulf Coast Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Fastpass Ucc, PLLC PastSince Jul 17, 2017 Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

2606 Hospital Blvd
#3W
Corpus Christi, TX 78405
Phone (361) 446-5002

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

Interoperability endpoints

  • Direct secure messaging: nharrell354513@christushealth.direct-ci.net

Organizations & group practices 7

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1588083265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD 3 WEST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78405",
            "telephone_number": "210-616-1467",
            "fax_number": "361-881-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051833",
            "telephone_number": "210-616-1467",
            "fax_number": "361-881-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q9369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.