Individual provider Active NPI

Gabriela Nicole Burgos Collazo

  • Case Management Registered Nurse
  • Houston, TX
National Provider Identifier
1770945503
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
1129630 Issued in TX
Practice address
5730 Timber Creek Place Dr
Apt 404
Houston, TX 77084-5314
Phone
(281) 704-3850
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 38964 PR
Case Management Registered Nurse 163WC0400X 1129630 TX Primary

Addresses

Primary practice location

5730 Timber Creek Place Dr
Apt 404
Houston, TX 77084-5314

Mailing address

13330 Welsh Pony
San Antonio, TX 78254-2165
Phone (281) 704-3850

Other practice location 1

7400 Merton Minter St
San Antonio, TX 78229-4404
Phone (210) 617-5300

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38964PRMDRegistered Nurse
1129630TXMDCase Management Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1770945503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 WELSH PONY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542165",
            "telephone_number": "281-704-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 TIMBER CREEK PLACE DR",
            "address_2": "APT 404",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845314",
            "telephone_number": "281-704-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Merton Minter St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294404",
            "country_code": "US",
            "telephone_number": "210-617-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOS COLLAZO",
        "first_name": "GABRIELA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "38964",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "1129630",
            "primary": true
        }
    ],
    "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 Feb 3, 2025; 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.