Angela Windom O'Donnell, APRN, CNM, WHNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

99337495 Issued in FL

Practice address

22455 Flora Parke Xing
Fernandina Beach, FL 32034-8000

Phone

(904) 452-4790

NPI assigned

Dec 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Angela Jone Windom Former name

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.o.donnell.1@25189.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25189/brand/1/csg/1/fhir/r4

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.

• Seadipity Wellness LLC

  • Primary Care Nurse Practitioner
  • Fernandina Beach, FL
  • NPI 1336803642
  Medicare reassignment NPD Authorized official
• University of Florida Jacksonville Physicians Inc

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1326208695
  Medicare reassignment NPD
• Dawson Integrative & Functional Medicine, LLC

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1679152979
  NPD
• University of Florida Jacksonville Physicians Inc

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
  • NPI 1477713741
  NPD
• University of Florida Jacksonville Physicians, Inc.

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD
• M & D Care, Inc. D/B/a Women'S Health Care

  • Advanced Practice Midwife
  • Tampa, FL
  • NPI 1770597676
  NPD (past)

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1033540463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86132 MEADOWRIDGE CT STE 240",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976432",
            "telephone_number": "770-301-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22455 FLORA PARKE XING",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348000",
            "telephone_number": "904-452-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5978 Powers Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172210",
            "country_code": "US",
            "telephone_number": "904-309-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10244 E Colonial Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328174338",
            "country_code": "US",
            "telephone_number": "407-777-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "ANGELA",
        "middle_name": "WINDOM",
        "credential": "APRN, CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "9337495",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9337495",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "99337495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WINDOM",
            "middle_name": "JONE",
            "credential": "APRN, CNM, WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela L Nixon
• Northland Hearing Centers, Inc.
• Michael Eugene Norton, H.A.S.
• Robin Albright Norton, LCSW
• Nourish - Body and Mind, LLC
• Mary O'Donnell, LMHC
• Cheryl Smith O'Donoghue, FNP-BC
• Kirsten O'Neil, MD
• William O'Sullivan
• Susan Elizabeth Oconnor, ARNP

• Primary Care Nurse Practitioner in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.