NPIMap

Organization Active NPI

Texas a&M University - Student Health Services

  • Family Nurse Practitioner
  • College Station, TX
National Provider Identifier
1770944241
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130206 Issued in TX
Legal business name
TEXAS A&M UNIVERSITY - STUDENT HEALTH SERVICES
Practice address
1264 Tamu
College Station, TX 77843-1264
Phone
(979) 458-8300
Fax
(979) 458-8319
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Dr. Martha Dannenbaum, M.D.
Title
Medical Director of Health Center
Phone
(979) 458-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP130206 TX Primary

Addresses

Primary practice location

1264 Tamu
College Station, TX 77843-1264

Mailing address

1264 Tamu
College Station, TX 77843-1264
Phone (979) 458-8300

Other names 1

  • A. P. Beutel Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Texas Am EMS4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1770944241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 TAMU",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778431264",
            "telephone_number": "979-458-8300",
            "fax_number": "979-458-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 TAMU",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778431264",
            "telephone_number": "979-458-8300",
            "fax_number": "979-458-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS A&M UNIVERSITY - STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "DANNENBAUM",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OF HEALTH CENTER",
        "authorized_official_telephone_number": "979-458-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A. P. Beutel Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 11, 2016; 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.