Active NPI
Jose Villanueva, PTA
- Health Educator
- Houston, TX
National Provider Identifier
1023481702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 2110346
- Practice address
- 3401 Dunvale Rd Apt 2806
Houston, TX 77063-5642 - Phone
- (832) 638-5319
- NPI assigned
- Nov 4, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 2110346 | TX | Primary |
Addresses
Primary practice location
3401 Dunvale Rd Apt 2806
Houston, TX 77063-5642
Mailing address
3401 Dunvale Rd Apt 2806
Houston, TX 77063-5642
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 |
|---|---|---|---|
| 2110346 | TX | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1023481702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 DUNVALE RD APT 2806",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 DUNVALE RD APT 2806",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635642",
"telephone_number": "832-638-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "JOSE",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "TX",
"license": "2110346",
"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 Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.