Active NPI
Nicole Renee Robinson, COSMETELOGIST
- Contractor
- Spring, TX
National Provider Identifier
1962807206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 1452107
- Practice address
- 7111 FM 2920 Rd # 122
Spring, TX 77379-2208 - Phone
- (832) 922-0682
- NPI assigned
- Oct 29, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 1452107 | TX | Primary |
Addresses
Primary practice location
7111 FM 2920 Rd # 122
Spring, TX 77379-2208
Mailing address
21838 Catoosa Dr Spring TX 77388
Spring, TX 77388
Phone (832) 922-0682
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1452107 | TX | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hair Phazez Hair Loss Center LLC | Current | Accepting new patients | |
| Hair Phazez Hair Loss Center LLC | Current | Accepting new patients | |
| Hair Phazez Hair Loss Center LLC | Current | Accepting new patients |
Locations
7111 FM 2920 Rd
#122
Spring, TX 77379
Phone (832) 922-0682
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.
-
- Prosthetic/Orthotic Supplier
- Spring, TX
- NPI 1114613056
-
- Durable Medical Equipment & Medical Supplies
- Spring, TX
- NPI 1699459628
-
- Prosthetics Case Management
- Spring, TX
- NPI 1720762669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1962807206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21838 CATOOSA DR SPRING TX 77388",
"city": "SPRING",
"state": "TX",
"postal_code": "77388",
"telephone_number": "832-922-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 FM 2920 RD # 122",
"city": "SPRING",
"state": "TX",
"postal_code": "773792208",
"telephone_number": "832-922-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "NICOLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "COSMETELOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "1452107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.