Individual provider Active NPI

Carrie Rae Nieswiadomy, WHNP-BC

  • Women's Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1750884268
Registry record updated Mar 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP122757 Issued in TX
Practice address
6500 North Fwy
Houston, TX 77076-2953
Phone
(713) 695-0002
NPI assigned
Mar 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP122757 TX Primary

Addresses

Primary practice location

6500 North Fwy
Houston, TX 77076-2953

Mailing address

14618 Golden Cypress LN
Cypress, TX 77429-1698

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602000098 TX Practitioner - Nurse Practitioner 0941667117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hwca, PLLC CurrentSince May 15, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7915 Cypress Creek Pkwy
Houston, TX 77070
Phone (281) 890-1182

7500 Fannin St
Ste 400
Houston, TX 77054
Phone (713) 795-1000

Interoperability endpoints

  • Direct secure messaging: carrie.nieswiadomy@hca9.eclinicaldirectplus.com

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": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520640000000",
    "number": "1750884268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 GOLDEN CYPRESS LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762953",
            "telephone_number": "713-695-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESWIADOMY",
        "first_name": "CARRIE",
        "middle_name": "RAE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP122757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.