Individual provider Active NPI

Nicole Dotson, LVN

  • Licensed Vocational Nurse
  • Houston, TX
National Provider Identifier
1639768773
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
348842 Issued in TX
Practice address
14300 Cornerstone Village Dr Ste 226
Houston, TX 77014-1248
Phone
(832) 302-0362
Fax
(281) 624-4597
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5245760 FL
Licensed Vocational Nurse 164X00000X 348842 TX Primary

Addresses

Primary practice location

14300 Cornerstone Village Dr Ste 226
Houston, TX 77014-1248

Mailing address

14300 Cornerstone Village Dr Ste 226
Houston, TX 77014-1248
Phone (832) 302-0362

Other identifiers 1

IdentifierTypeStateIssuer
348842OtherTXTX BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole@lifelinehealthtraining.com Direct

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

State licenses

LicenseStateTypeSpecialty
PN5245760FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Onelab LLC CurrentSince Jan 14, 2021 Accepting new patients

Locations

14300 Cornerstone Village Dr
Ste 226
Houston, TX 77014
Phone (832) 219-7998

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1639768773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 CORNERSTONE VILLAGE DR STE 226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141248",
            "telephone_number": "832-302-0362",
            "fax_number": "281-624-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 CORNERSTONE VILLAGE DR STE 226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141248",
            "telephone_number": "832-302-0362",
            "fax_number": "281-624-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "NICOLE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5245760",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "348842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BOARD OF NURSING",
            "identifier": "348842",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@lifelinehealthtraining.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14300 Cornerstone Village Dr Ste 226",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770141248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jan 13, 2021; 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.