Angela M Poley, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

328109 Issued in TX

Practice address

114 Valencia
Universal City, TX 78148-3112

Phone

(830) 515-7410

NPI assigned

Aug 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566691200000",
    "number": "1013564913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 WURZBACH RD STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404332",
            "telephone_number": "310-737-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 VALENCIA",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483112",
            "telephone_number": "830-515-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Wurzbach Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782404332",
            "country_code": "US",
            "telephone_number": "310-737-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLEY",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-25",
        "last_updated": "2019-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "328109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29509977",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Private Healthcare Facilities
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• Licensed Vocational Nurse in Universal City, TX
• Providers in Universal City, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2019; 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.