Angela Coombs Ivey, LPN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

903 Sero Estates Dr
Fort Washington, MD 20744-6082

Phone

(202) 609-4080

NPI assigned

May 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jenesis Wellness

  • Nursing Care Agency
  • Fort Washington, MD
  • NPI 1043995582
  NPD

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1013277243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SERO ESTATES DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207446082",
            "telephone_number": "202-609-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SERO ESTATES DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207446082",
            "telephone_number": "202-609-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "ANGELA",
        "middle_name": "COOMBS",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN8309",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Esma Isaacson, LPC
• Jacquelyne Ivery, RPH, PHARMD
• J & M Barr Trucking LLC
• Felicia Jackson-Blue
• Alfredo Jackson-Moore
• Jacob'S Ladder Youth Foundation
• Robyn F James, MD

• Case Manager/Care Coordinator in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.