Active NPI
Dianne Nicholas, M.D.
- Emergency Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- J2238
- Practice address
- 5160 Timber Creek Dr
Houston, TX 77017-5968 - Phone
- (713) 440-0602
- Fax
- (713) 944-8903
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | J2238 | TX | Primary |
| Internal Medicine Physician | 207R00000X | J2238 | TX |
Addresses
Primary practice location
5160 Timber Creek Dr
Houston, TX 77017-5968
Mailing address
PO Box 14231
Houston, TX 77221-4231
Phone (713) 440-0602
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Texas Medical Branch at Galveston, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5160 Timber Creek Dr
Houston, TX 77017-5968
Phone (713) 944-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2238 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Ess of South Texas LLC | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Dianne W. Nicholas M.D., PA | Internal Medicine | Current | Accepting new patients |
| Great Plains Tribal Chairmen'S Health Board | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| Ess of Nacogdoches LLC | Emergency Medicine | Current | Accepting new patients |
| Glen Rose Medical Foundation Inc. | Emergency Medicine | Past | Accepting new patients |
| Texas Em-1 Medical Services | Emergency Medicine | Past | Accepting new patients |
| Glen Rose Medical Foundation | Emergency Medicine | Past | Accepting new patients |
Locations
3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251
1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141
6441 Main St
Houston, TX 77030
Phone (713) 790-0500
5160 Timber Creek Dr
Houston, TX 77017
Phone (713) 440-0602
821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040
1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316
200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
1550 First Colony Blvd
Sugar Land, TX 77479
Phone (281) 275-6000
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
400 Youens Dr
Weimar, TX 78962
Phone (409) 725-9531
Interoperability endpoints
- dianne.nicholas.1@13131.direct.athenahealth.com
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1821263468
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Emergency Medicine Physician
- Nacogdoches, TX
- NPI 1780139956
-
- Emergency Medicine Physician
- Liberty, TX
- NPI 1295128247
-
- Hospitalist Physician
- Arlington, TX
- NPI 1821327321
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Hospitalist Physician
- Webster, TX
- NPI 1114215571
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Certified Registered Nurse Anesthetist
- Glen Rose, TX
- NPI 1992749857
Emergency Medicine
-
- Emergency Medicine Physician
- Glen Rose, TX
- NPI 1639292964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1679553499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14231",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772214231",
"telephone_number": "713-440-0602",
"fax_number": "713-944-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5160 TIMBER CREEK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770175968",
"telephone_number": "713-440-0602",
"fax_number": "713-944-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "DIANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J2238",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J2238",
"primary": false
}
],
"identifiers": [],
"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 Aug 28, 2009; 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.