Active NPI
Nicole Couvillon Fawcett, AGNP-C
- Gerontology Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP136808
- Practice address
- 3100 Weslayan St Ste 350
Houston, TX 77027-5733 - Phone
- (713) 533-1700
- Fax
- (713) 533-1708
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP136808 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP136808 | TX | Primary |
Addresses
Primary practice location
3100 Weslayan St Ste 350
Houston, TX 77027-5733
Mailing address
PO Box 873
Bellaire, TX 77402-0873
Phone (713) 533-1700
Other practice location 1
5020 Kelvin Dr
Houston, TX 77005-2533
Phone (281) 886-8082
Other practice location 2
901 W Baker Rd
Baytown, TX 77521-2398
Phone (866) 659-2295
Other practice location 3
331 Fall Creek Dr
Huffman, TX 77336-2887
Phone (281) 235-2974
Other practice location 4
504 Bering Dr
Houston, TX 77057-1479
Phone (832) 699-1767
Other practice location 5
5000 Cypresswood Dr
Spring, TX 77379-1500
Phone (832) 639-8540
Other practice location 6
20305 Holzwarth Rd
Spring, TX 77388-5582
Phone (281) 257-2299
Other practice location 7
1407 Studewood St
Houston, TX 77008-4588
Phone (713) 802-9700
Other practice location 8
4141 N Braeswood Blvd
Houston, TX 77025-2900
Phone (713) 665-4141
Other practice location 9
1015 S Shepherd Dr
Houston, TX 77019-1122
Phone (713) 952-7600
Other practice location 10
4620 Bellaire Blvd
Bellaire, TX 77401-4231
Phone (713) 665-3888
Other practice location 11
14100 Karissa Ct
Houston, TX 77049-3866
Phone (713) 340-5200
Other practice location 12
4048 Red Bluff Rd
Pasadena, TX 77503-3606
Phone (713) 477-7877
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385955503 | Medicaid | TX | |
| 385955502 | Medicaid | TX | |
| 8KS668 | Other | TX | BCBS TX RECORD ID |
| 385955504 | Medicaid | TX | |
| 385955501 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 S Shepherd Dr
Houston, TX 77019-1122
Phone (713) 952-7600
3100 Weslayan St
Suite 350
Houston, TX 77027-5733
Phone (713) 533-1700
4141 N Braeswood Blvd
Houston, TX 77025-2900
Phone (713) 665-4141
4620 Bellaire Blvd
Bellaire, TX 77401-4231
Phone (713) 665-3888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael E. Buxbaum, D.O. P.a. | Gerontology | Current | Accepting new patients |
| Ivan C Spector MD PA | Past | Accepting new patients |
Locations
1213 Hermann Dr
Ste 230
Houston, TX 77004
Phone (713) 533-0900
14100 Karissa Ct
Houston, TX 77049
Phone (713) 340-5200
6699 Chimney Rock Rd
Ste 201
Houston, TX 77081
Phone (713) 533-1700
3100 Weslayan St
Ste 350
Houston, TX 77027
Phone (713) 533-1700
4048 Red Bluff Rd
Pasadena, TX 77503
Phone (713) 477-7877
Organizations & group practices 2
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.
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- Houston, TX
- NPI 1801961818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1649772716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 873",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774020873",
"telephone_number": "713-533-1700",
"fax_number": "713-533-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 WESLAYAN ST STE 350",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770275733",
"telephone_number": "713-533-1700",
"fax_number": "713-533-1708"
}
],
"practiceLocations": [
{
"address_1": "5020 Kelvin Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770052533",
"country_code": "US",
"telephone_number": "281-886-8082",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 W Baker Rd",
"address_purpose": "LOCATION",
"city": "Baytown",
"state": "TX",
"postal_code": "775212398",
"country_code": "US",
"telephone_number": "866-659-2295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "331 Fall Creek Dr",
"address_purpose": "LOCATION",
"city": "Huffman",
"state": "TX",
"postal_code": "773362887",
"country_code": "US",
"telephone_number": "281-235-2974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "504 Bering Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770571479",
"country_code": "US",
"telephone_number": "832-699-1767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 Cypresswood Dr",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773791500",
"country_code": "US",
"telephone_number": "832-639-8540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20305 Holzwarth Rd",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773885582",
"country_code": "US",
"telephone_number": "281-257-2299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1407 Studewood St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770084588",
"country_code": "US",
"telephone_number": "713-802-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4141 N Braeswood Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770252900",
"country_code": "US",
"telephone_number": "713-665-4141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 S Shepherd Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770191122",
"country_code": "US",
"telephone_number": "713-952-7600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4620 Bellaire Blvd",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "TX",
"postal_code": "774014231",
"country_code": "US",
"telephone_number": "713-665-3888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14100 Karissa Ct",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770493866",
"country_code": "US",
"telephone_number": "713-340-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4048 Red Bluff Rd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775033606",
"country_code": "US",
"telephone_number": "713-477-7877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COUVILLON FAWCETT",
"first_name": "NICOLE",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP136808",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP136808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "385955503",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "385955502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX RECORD ID",
"identifier": "8KS668",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "385955504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "385955501",
"state": "TX"
}
],
"endpoints": [],
"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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.