Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Mitsue Dillard

Individual provider Emergency Registered Nurse · NPI 1669139978

Nicole Mitsue Dillard is a Nurse Practitioner in Houston, Texas. Qualified in 2021, 5 years ago. Practices with Memorial Hermann Urgent Care PLLC, a 117-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

6565 Fannin St
Houston, TX 77030-2703
Phone: (281) 441-2245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1080925 (TX)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 867083 (TX)

Record details

NPI number1669139978
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2021
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address8330 El Mundo St Apt 1017, Houston, TX 77054-4645

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Memorial Hermann Urgent Care Pllc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations20 on file with Medicare

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