John Paul Flanagan Jr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1010234 Issued in TX

Practice address

2712 Highway 365
Nederland, TX 77627-7826

Phone

(409) 721-5846

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1033749585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277826",
            "telephone_number": "409-721-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "892617",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faulk Family Healthcare, PLLC
• Sabrina Lea Faulk
• Hailey Anne Ferguson, SLP
• Victor Fermo, M.D.
• Steven Michael Fitzgerald, DDS
• Ford & Hefner, D.D.S., L.L.P.
• Chad Lance Ford, D.D.S.
• Emma Forsythe
• John L Forsythe, M.D.
• Frederick E. Quirante, DPM

• Family Nurse Practitioner in Nederland, TX
• Providers in Nederland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.