Individual provider Active NPI

Angela Maria Tanguma, NP

  • Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1003332438
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP134870 Issued in TX
Practice address
4150 Crosspoint Blvd
Edinburg, TX 78539
Phone
(956) 381-5817
Fax
(956) 381-5397
NPI assigned
Aug 17, 2017
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 AP134870 TX
Nurse Practitioner 363L00000X AP134870 TX Primary

Addresses

Primary practice location

4150 Crosspoint Blvd
Edinburg, TX 78539

Mailing address

PO Box 531968
Harlingen, TX 78553-1968

Other identifiers 2

IdentifierTypeStateIssuer
H08JU15201OtherTXBCBS
385897901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171016000103 TX Practitioner - Nurse Practitioner 6103191382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4150 Crosspoint Blvd
Edinburg, TX 78539-1803
Phone (956) 296-1960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134870TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley CurrentSince Jul 2, 2018 Accepting new patients
The University of Texas Rio Grande Valley Current Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

9901 California Rd
Brownsville, TX 78521
Phone (956) 296-1681

230 N 86th St
Edinburg, TX 78542
Phone (956) 296-1711

4150 Crosspoint Blvd
Edinburg, TX 78539
Phone (956) 296-1960

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

532 Gabriela St
Rio Grande City, TX 78582
Phone (956) 296-1635

Interoperability endpoints

  • Direct secure messaging: angela.tanguma.1@25460.direct.athenahealth.com
  • Direct secure messaging: atanguma67841@direct.utmb.edu
  • FHIR API: https://api.platform.athenahealth.com/25460/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1003332438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531968",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CROSSPOINT BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-381-5817",
            "fax_number": "956-381-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGUMA",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134870",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08JU15201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385897901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.