Individual provider Active NPI

Juan Roberto Llanes, MSN, APRN FNP-BC

  • Nurse Practitioner
  • Palmview, TX
National Provider Identifier
1306843347
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP112583 Issued in TX
Practice address
202 Palmview Dr Ste 1
Palmview, TX 78572-9394
Phone
(956) 225-2625
Fax
(956) 598-6069
NPI assigned
Jul 6, 2005
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP112583 TX Primary
Family Nurse Practitioner 363LF0000X 533924 TX

Addresses

Primary practice location

202 Palmview Dr Ste 1
Palmview, TX 78572-9394

Mailing address

801 I J St
McAllen, TX 78501-1892
Phone (956) 802-7540

Other practice location 1

2601 Cornerstone Blvd
Edinburg, TX 78539-8479
Phone (956) 664-1400 ext. 2032

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 72.167.221.236

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP112583TXMDNurse Practitioner
533924TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Family Health Clinic CurrentSince Dec 6, 2020 Accepting new patients
Healthy Family Clinic LLC Family PastSince Jul 25, 2012 Accepting new patients
C.L. Anderson, Jr., M.D., PLLC Past Accepting new patients
Jorge Zamora-Quezada MD MPH PA Past Accepting new patients
Dr Bose Industrial & Family Medicine PLLC PastSince Apr 14, 2019 Accepting new patients

Locations

202 Palmview Dr
Ste 1
Palmview, TX 78572

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.991

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1306843347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 I J ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785011892",
            "telephone_number": "956-802-7540",
            "fax_number": "956-682-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PALMVIEW DR STE 1",
            "city": "PALMVIEW",
            "state": "TX",
            "postal_code": "785729394",
            "telephone_number": "956-225-2625",
            "fax_number": "956-598-6069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Cornerstone Blvd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785398479",
            "country_code": "US",
            "telephone_number": "956-664-1400 x2032",
            "fax_number": "956-664-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLANES",
        "first_name": "JUAN",
        "middle_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP112583",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "533924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "72.167.221.236",
            "affiliation": "N",
            "address_1": "202 Palmview Dr Ste 1",
            "city": "Palmview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785729394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.