Active NPI
Alfredo Alejandro Mosquera Nino, LAT, ATC
- Athletic Trainer
- College Station, TX
National Provider Identifier
1467909119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT8611
- Practice address
- 1228 Tamu
College Station, TX 77843-3370 - Phone
- (979) 845-3121
- NPI assigned
- Sep 9, 2016
- Last updated
- May 5, 2023
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT8611 | TX | Primary |
Addresses
Primary practice location
1228 Tamu
College Station, TX 77843-3370
Mailing address
3780 Copperfield Dr Apt 813
Bryan, TX 77802-5886
Phone (330) 245-7982
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 |
|---|---|---|---|
| AT8611 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1467909119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3780 COPPERFIELD DR APT 813",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025886",
"telephone_number": "330-245-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 TAMU",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778433370",
"telephone_number": "979-845-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSQUERA NINO",
"first_name": "ALFREDO",
"middle_name": "ALEJANDRO",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-09",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT8611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.