Active NPIIndividual provider

Nicole E Eidson, FNP-C

Nurse Practitioner, Family in Round Rock, Texas

NPI Number1558514745
Practice location
1855 Gattis School RD, Round Rock, TX 78664-7428
Fax
401-216-2854
Last updated
May 22, 2026

Nicole Elizabeth Eidson is a Nurse Practitioner, Family based in Round Rock, TX. Nicole Elizabeth Eidson practices in Round Rock, TX and has the professional credentials of FNP-C. The NPI Number for Nicole Elizabeth Eidson is 1558514745 and holds a License No. 4704446455 (MI). The current practice location address for Nicole Elizabeth Eidson is 1855 Gattis School RD, Round Rock, TX 78664-7428 and can be reached out via phone at 866-389-2727 and via fax at 401-216-2854.

Provider Profile Details

NPI Number
1558514745
Provider Name
Nicole Elizabeth Eidson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1855 Gattis School RD, Round Rock, TX 78664-7428
Phone Number
866-389-2727
Fax Number
401-216-2854
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Nicole Eidson Goodman, FNP-C (Former Name)
Provider Enumeration Date
October 31, 2008
Last Update Date
May 22, 2026
Certification Date
May 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1855 Gattis School RD
Round Rock, TX 78664-7428
State
Texas
Zip
78664-7428
Phone Number
866-389-2727
Fax Number
401-216-2854
Round Rock, TX 78664Get directions →

Provider Business Mailing Address Details

Address
1855 Gattis School RD
Round Rock, TX 78664-7428
City
Round Rock
State
TX
Zip
78664-7428
Phone Number
866-389-2727
Fax Number
401-216-2854

License Information

License Number (1)
4704446455
License State (1)
MI
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
898780
License State (2)
NV
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
C-APN.0106146-C-NP
License State (3)
CO
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
236750
License State (4)
AR
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X
License Number (5)
116848
License State (5)
NE
Taxonomy (5)
Nurse Practitioner, Family · 363LF0000X
License Number (6)
C-RXN.0104112-C-NP
License State (6)
CO
Taxonomy (6)
Nurse Practitioner, Family · 363LF0000X
License Number (7)
3281616
License State (7)
ID
Taxonomy (7)
Nurse Practitioner, Family · 363LF0000X
License Number (8)
245905
License State (8)
LA
Taxonomy (8)
Nurse Practitioner, Family · 363LF0000X
License Number (9)
AP3167
License State (9)
AZ
Taxonomy (9)
Nurse Practitioner, Family · 363LF0000X
License Number (10)
58957
License State (10)
WY
Taxonomy (10)
Nurse Practitioner, Family · 363LF0000X
License Number (11)
R0113798
License State (11)
OK
Taxonomy (11)
Nurse Practitioner, Family · 363LF0000X
License Number (12)
3-002919
License State (12)
AL
Taxonomy (12)
Nurse Practitioner, Family · 363LF0000X
License Number (13)
A190163
License State (13)
IA
Taxonomy (13)
Nurse Practitioner, Family · 363LF0000X
License Number (14)
AP116912
License State (14)
TX
Taxonomy (14)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole E Eidson, FNP-C?

The NPI number of Nicole E Eidson, FNP-C is 1558514745. It was assigned on October 31, 2008 and is currently active in the NPPES registry.

What is the specialty of Nicole E Eidson, FNP-C?

Nicole E Eidson, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MI under license number 4704446455.

Where does Nicole E Eidson, FNP-C practice?

The practice location is 1855 Gattis School RD, Round Rock, TX 78664-7428. The office can be reached at 866-389-2727 (phone) or 401-216-2854 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558514745 directly on the NPPES registry website.

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