Sandra Avigail Angulo, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

72404 Issued in NM

Practice address

3751 Del Rey Blvd
Las Cruces, NM 88012-8526

Phone

(575) 382-3500

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• BHC Mesilla Valley Hospital LLC

  dba Mesilla Valley Hospital

  • Psychiatric Hospital
  • Las Cruces, NM
  • NPI 1841205671

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1033810676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 BERMUDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255333",
            "telephone_number": "915-407-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 DEL REY BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880128526",
            "telephone_number": "575-382-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGULO",
        "first_name": "SANDRA",
        "middle_name": "AVIGAIL",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "72404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angels Network Counseling Services
• Angels With Broken Wings
• Angels With Broken Wings NM Inc
• Joyce Anglin
• H. Saron Daniel Anglon-Coleman, LMSA, LSAA
• Syed Samir Anis, MD
• Vinishaa Ankala, MD
• Ann S Mercer MD PA
• Daniel Craig Ansbach, PHYSICAL THERAPIST
• Anthony Levatino MD LLC (Women's Wellness Center of Southern New Mexico)

• Psychiatric/Mental Health Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.