Individual provider Active NPI

Joshua Nathaniel Reyes, APRN, FNP-C

  • Family Nurse Practitioner
  • Bandera, TX
National Provider Identifier
1740197045
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1250478 Issued in TX
Practice address
910 12TH St Ste a
Bandera, TX 78003-3463
Phone
(830) 719-4003
Fax
(855) 598-3608
NPI assigned
Aug 25, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1250478 TX Primary
Registered Nurse 163W00000X 972822 TX

Addresses

Primary practice location

910 12TH St Ste a
Bandera, TX 78003-3463

Mailing address

910 12TH St Ste a
Bandera, TX 78003-3463
Phone (830) 719-4003

Other practice location 1

9910 W Loop 1604 N Ste 128
San Antonio, TX 78254-5610
Phone (210) 455-6253

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

LicenseStateTypeSpecialty
972822TXMDRegistered Nurse
1250478TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1740197045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 12TH ST STE A",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780033463",
            "telephone_number": "830-719-4003",
            "fax_number": "855-598-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 12TH ST STE A",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780033463",
            "telephone_number": "830-719-4003",
            "fax_number": "855-598-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9910 W Loop 1604 N Ste 128",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782545610",
            "country_code": "US",
            "telephone_number": "210-455-6253",
            "fax_number": "855-398-3608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOSHUA",
        "middle_name": "NATHANIEL",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1250478",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "972822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandera, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.