Juan Jesus Anguiano, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7043 Issued in TX

Practice address

1015 E 32ND St Ste 101
Austin, TX 78705-2700

Phone

(512) 826-1966

NPI assigned

Jan 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514764800000",
    "number": "1407363369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 S 1ST ST APT 440",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040108",
            "telephone_number": "512-826-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052700",
            "telephone_number": "512-826-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGUIANO",
        "first_name": "JUAN",
        "middle_name": "JESUS",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane M Angelus
• Arush K Angirasa, DPM
• David Lee Anglin, M.D.
• Zachary Anglin, LCSW
• Emilio Francisco Anguiano, LCDC
• Rita Aniekwu, APRN, PMHNP, BSN, RN
• Ashton Marie Aninzo, PA-C, RD
• Anioma Medical Transportation LLC
• Iryna Aniushkevich
• Ann Soo M.D. P.a.

• Athletic Trainer in Austin, TX
• Providers in Austin, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2018; 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.