Individual provider Active NPI

Cole Atkinson, NP

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1891254819
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140684 Issued in TX
Practice address
3251 I H 45 N Ste 100
Conroe, TX 77304-2185
Phone
(936) 414-9000
Fax
(936) 494-4431
NPI assigned
Mar 19, 2019
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 841127 TX
Family Nurse Practitioner 363LF0000X AP140684 TX Primary

Addresses

Primary practice location

3251 I H 45 N Ste 100
Conroe, TX 77304-2185

Mailing address

409 County Road 563
Kirbyville, TX 75956-2236
Phone (409) 423-0367

Other practice location 1

22710 Professional Dr Ste 202
Kingwood, TX 77339-6009
Phone (281) 312-8521

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
841127TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Clinical Services Inc CurrentSince Nov 1, 2016 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

3251 Interstate 45 N
Ste 100
Conroe, TX 77304
Phone (936) 441-9000

22710 Professional Dr
Ste 202
Kingwood, TX 77339
Phone (281) 312-8521

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1891254819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 COUNTY ROAD 563",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759562236",
            "telephone_number": "409-423-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 I H 45 N STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042185",
            "telephone_number": "936-414-9000",
            "fax_number": "936-494-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22710 Professional Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773396009",
            "country_code": "US",
            "telephone_number": "281-312-8521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "COLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "841127",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.