Jose Daniel Colin Atanacio, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1048617 Issued in TX

Practice address

3201 University Dr E Ste 135
Bryan, TX 77802-3481

Phone

(979) 703-1832

Fax

(979) 703-1937

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jose Daniel Colin Atanacio Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1962166884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 CARSON LN",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606391",
            "telephone_number": "903-517-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 135",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023481",
            "telephone_number": "979-703-1832",
            "fax_number": "979-703-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIN ATANACIO",
        "first_name": "JOSE",
        "middle_name": "DANIEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "COLIN ATANACIO",
            "middle_name": "DANIEL",
            "credential": "COLIN ATANACIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Nurse Practitioner in Bryan, TX
• Providers in Bryan, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.