Active NPI
Jose Luis Colon Jr.
- Licensed Vocational Nurse
- Mesquite, TX
National Provider Identifier
1710589221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 302560
- Practice address
- 2022 Picadilly Blvd
Mesquite, TX 75149-8632 - Phone
- (972) 975-8418
- NPI assigned
- Nov 10, 2020
- Last updated
- Nov 10, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 302560 | TX | Primary |
Addresses
Primary practice location
2022 Picadilly Blvd
Mesquite, TX 75149-8632
Mailing address
2022 Picadilly Blvd
Mesquite, TX 75149-8632
Phone (972) 975-8418
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 |
|---|---|---|---|
| 302560 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1710589221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 PICADILLY BLVD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751498632",
"telephone_number": "972-975-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 PICADILLY BLVD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751498632",
"telephone_number": "972-975-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "302560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.