Active NPI
Angelia D Winton, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 14695
- Practice address
- 2205 McCallie Ave
Chattanooga, TN 37404-3230 - Phone
- (423) 698-2435
- Fax
- (423) 697-6110
- NPI assigned
- Nov 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 14695 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14695 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 14695 | TN |
Addresses
Primary practice location
2205 McCallie Ave
Chattanooga, TN 37404-3230
Mailing address
2205 McCallie Ave
Chattanooga, TN 37404-3230
Phone (423) 698-2435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14695 | Other | TN | APN LICENSE |
Other names 1
- Angelia Denise Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
804 N Holtzclaw Ave
Chattanooga, TN 37404-1235
Phone (877) 249-2737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14695 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Diagnostic Associates LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Erlanger Behavioral Health, LLC | Current | Accepting new patients | |
| Landmark Health of Oregon LLC | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733
804 N Holtzclaw Ave
Chattanooga, TN 37404
Phone (423) 463-4408
1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Chattanooga, TN
- NPI 1306354790
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1679772099
-
- General Practice Physician
- Tigard, OR
- NPI 1205226214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1023345352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 MCCALLIE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043230",
"telephone_number": "423-698-2435",
"fax_number": "423-697-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 MCCALLIE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043230",
"telephone_number": "423-698-2435",
"fax_number": "423-697-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTON",
"first_name": "ANGELIA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "14695",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "14695",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "14695",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE",
"identifier": "14695",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELIA",
"last_name": "JOHNSON",
"middle_name": "DENISE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.