Individual provider Active NPI

Nicole Courtney Houser, PA

  • Medical Physician Assistant
  • Naples, FL
National Provider Identifier
1841256740
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109381 Issued in FL
Practice address
13020 Livingston Rd
Suite 14
Naples, FL 34105-5021
Phone
(239) 263-3330
Fax
(239) 263-7492
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109381 FL Primary

Addresses

Primary practice location

13020 Livingston Rd
Suite 14
Naples, FL 34105-5021

Mailing address

13020 Livingston Rd
Suite 14
Naples, FL 34105-5021
Phone (412) 418-4719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161220002166 FL Practitioner - Physician Assistant 2062407612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FWC Urogynecology, LLC CurrentSince Jul 11, 2017 Accepting new patients
Synergy Chiropractic and Health Center PA Past Accepting new patients
West Penn Allegheny Health System, Inc. Past Accepting new patients

Locations

1890 SW Health Pkwy
Ste 205
Naples, FL 34109
Phone (239) 449-7979

32801 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 724-1966

Interoperability endpoints

  • Direct secure messaging: nicole.houser.1@18045.direct.athenahealth.com

Organizations & group practices 3

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1841256740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 LIVINGSTON RD",
            "address_2": "SUITE 14",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055021",
            "telephone_number": "412-418-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 LIVINGSTON RD",
            "address_2": "SUITE 14",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055021",
            "telephone_number": "239-263-3330",
            "fax_number": "239-263-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "NICOLE",
        "middle_name": "COURTNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.